Organization Active NPI

Garden of Success Dba: Support Professionals

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Independence, MO
National Provider Identifier
1982878112
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GARDEN OF SUCCESS DBA: SUPPORT PROFESSIONALS
Practice address
18813 E 25TH St S
Independence, MO 64057-2467
Phone
(816) 217-1791
Fax
(816) 817-0087
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Miss Patrice Wanetta Dumas
Title
Administrator
Phone
(816) 217-1791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

18813 E 25TH St S
Independence, MO 64057-2467

Mailing address

18813 E 25TH St S
Independence, MO 64057-2467
Phone (816) 217-1791

Other identifiers 1

IdentifierTypeStateIssuer
1740486430MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Garden of Success3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1982878112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18813 E 25TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572467",
            "telephone_number": "816-217-1791",
            "fax_number": "816-817-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18813 E 25TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572467",
            "telephone_number": "816-217-1791",
            "fax_number": "816-817-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF SUCCESS DBA: SUPPORT PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "WANETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-217-1791",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740486430",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.