Faceson'S Residential-Stratford House

Primary specialty

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

License

320900000X Issued in MO

Legal business name

FACESON'S RESIDENTIAL-STRATFORD HOUSE

Practice address

10724 Bellaire Ave
Kansas City, MO 64134-2548

Phone

(816) 965-5965

Fax

(816) 965-5966

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hereldine I Faceson

Title

Administrator

Phone

(816) 965-5965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1982806790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 BELLAIRE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641342548",
            "telephone_number": "816-965-5965",
            "fax_number": "816-965-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10724 BELLAIRE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641342548",
            "telephone_number": "816-965-5965",
            "fax_number": "816-965-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACESON'S RESIDENTIAL-STRATFORD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "FACESON",
        "authorized_official_first_name": "HERELDINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-965-5965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "320900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ezekwe, PHARMACIST
• Devon Ezell, RN
• Kai Michael Ezell, DDS
• Oluebube C Ezenagu, MD
• Gabrielle Lev Fabrikant-Abzug
• Facial Surgery Group PC
• Emily Facile
• Kara Marie Fadler, RNC, NNP
• Mohamad Fael
• Brian D Fagan, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, 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 Mar 2, 2010; 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.