Organization Active NPI

Carla Marie Avery-Hutchins

Doing business as ACJC Day Residential Carla LLC

  • Developmentally Disabled Services Day Training Agency
  • Overland Park, KS
National Provider Identifier
1972857688
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CARLA MARIE AVERY-HUTCHINS
Doing business as
ACJC Day Residential Carla LLC
Practice address
12420 W 119TH Ter Apt 714
Overland Park, KS 66213-5727
Phone
(913) 766-3400
NPI assigned
Nov 2, 2012
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Ms. Carla Marie Avery-Hutchins
Title
Director/Owner
Phone
(816) 392-9878

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X KS Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X KS

Addresses

Primary practice location

12420 W 119TH Ter Apt 714
Overland Park, KS 66213-5727

Mailing address

10606 E 34TH St S
Independence, MO 64052-2624
Phone (816) 392-9878

Other names 1

  • ACJC Day Residential Carla LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1972857688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 E 34TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640522624",
            "telephone_number": "816-392-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 W 119TH TER APT 714",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662135727",
            "telephone_number": "913-766-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA MARIE AVERY-HUTCHINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "AVERY-HUTCHINS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "816-392-9878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACJC Day Residential Carla LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.