SUPPORT PROFESSIONALS – NPI #1902167067
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

SUPPORT PROFESSIONALS is a community based residential treatment facility located in KANSAS CITY, MO. NPPES has assigned the NPI number 1902167067 to SUPPORT PROFESSIONALS on June 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUPPORT PROFESSIONALS” is a dba name, the actual legal business name for this organization is SUPPORT PROFESSIONALS II. With multiple taxonomy codes selected, 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.

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 SUPPORT PROFESSIONALS below.

NPI Profile for
SUPPORT PROFESSIONALS II

NPI Number
1902167067
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUPPORT PROFESSIONALS II
Doing Business As (dba): SUPPORT PROFESSIONALS
Primary location
8540 BLUE RIDGE
KANSAS CITY, MO 64138
Phone: (816) 759-0112 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICE VERAGUTH
ADMINISTRATOR
Phone: (816) 898-7529
Updated
Taxonomy Code(s)

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)
320800000X
- Community Based Residential Treatment Facility, Mental Illness

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.