Xtracare Adult Day Care Center, LLC.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

XTRACARE ADULT DAY CARE CENTER, LLC.

Practice address

6311 Evanston Ave
Raytown, MO 64133-4929

Phone

(816) 272-2533

Fax

(816) 298-1426

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rose A. Iyewarun, PH.D. - IOWA STATE UNPI 1538626650

Title

Director/Manager

Phone

(816) 272-2533

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Iyewarun, PHD

  • Adult Day Care Clinic/Center
  • Raytown, MO
  • NPI 1538626650
  NPD Authorized official

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1952727273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334929",
            "telephone_number": "816-272-2533",
            "fax_number": "816-298-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 EVANSTON AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334929",
            "telephone_number": "816-272-2533",
            "fax_number": "816-298-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRACARE ADULT DAY CARE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "IYEWARUN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "816-272-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. - IOWA STATE U"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Wilson, DDS
• Leslie K Wiscombe, DO
• Michael Woodhead, DMD
• Wound Ostomy Leg & Foot Care Clinic and Spa LLC
• Sarah Ann Wright
• Xtracomfort Home Health Agency, LLC
• Tracy L Yager, NP
• David Yates, DDS
• Alexis Yoder
• Zachary T Williams DDS MCLD LLC

• Adult Day Care Clinic/Center in Raytown, MO
• Providers in Raytown, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.