Able Independent Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

1115030 Issued in MO

Legal business name

ABLE INDEPENDENT CARE, LLC

Practice address

9310 NW 59TH Ter
Parkville, MO 64152-3536

Phone

(913) 909-5205

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Nicole D HensonNPI 1013204544

Title

Owner/Director

Phone

(913) 909-5205

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Delores Henson

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Parkville, MO
  • NPI 1013204544

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1982080271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 NW 59TH TERRACE",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "64152",
            "telephone_number": "913-909-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 NW 59TH TER",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523536",
            "telephone_number": "913-909-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE INDEPENDENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "913-909-5205",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1115030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie D Ackley, PT, DMT, COMT, OCS
• Laura Adams, PLPC
• Sarah Christine Adkins
• Susan Mariah Adsit-McGriff, MSW
• Brandon Zacharie Jacob Ahhee

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Parkville, MO
• Providers in Parkville, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.