CARE BY CLARK – NPI #1164601357
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
CARE BY CLARK is a community based residential treatment facility located in INDEPENDENCE, MO. NPPES has assigned the NPI number 1164601357 to CARE BY CLARK on October 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARE BY CLARK” is a dba name, the actual legal business name for this organization is CARE BY CASSIE. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 11 years ago on May 21, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARE BY CLARK below.
NPI Profile for
CARE BY CASSIE
(more than 18 years ago)
INDEPENDENCE, MO 64055-3150 Phone: (816) 478-9031 Fax: (816) 350-3406
INDEPENDENCE, MO 64055-5067 Phone: (816) 478-9031 Fax: (816) 350-3406
DIRECTOR/OWNER
Phone: (816) 847-0931
Identifiers for CARE BY CLARK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MO | 858953102 | |
| MEDICAID | MO | 859720203 | |
| MEDICAID | MO | 858191901 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
MO | 1410-9246 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.