Organization Active NPI

Quuendom Care LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1942066865
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
QUUENDOM CARE LLC
Practice address
4421 Flora Ave
Kansas City, MO 64110-1427
Phone
(816) 969-9535
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiauni Boston, LPN
Title
Owner
Phone
(816) 969-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

4421 Flora Ave
Kansas City, MO 64110-1427

Mailing address

4421 Flora Ave
Kansas City, MO 64110-1427
Phone (816) 969-9535

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1942066865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 FLORA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101427",
            "telephone_number": "816-969-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 FLORA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101427",
            "telephone_number": "816-969-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUUENDOM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "KIAUNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-969-9535",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.