Provider Demographics
NPI:1225517329
Name:MISSION PROJECT - PERSON CARE ASSISTANTS, LLC
Entity Type:Organization
Organization Name:MISSION PROJECT - PERSON CARE ASSISTANTS, LLC
Other - Org Name:MP-PCA, LLC OR MP CARE OR MPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:BELANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:816-516-4644
Mailing Address - Street 1:5960 DEARBORN ST # 225
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5960 DEARBORN ST # 225
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3342
Practice Address - Country:US
Practice Address - Phone:913-777-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty