Provider Demographics
NPI:1487002812
Name:AAA COMPASSIONATE CARE, LP
Entity Type:Organization
Organization Name:AAA COMPASSIONATE CARE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOLE PROPIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDERHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-875-6113
Mailing Address - Street 1:2620 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-1462
Mailing Address - Country:US
Mailing Address - Phone:816-875-6113
Mailing Address - Fax:
Practice Address - Street 1:1217 E LANGSFORD RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-3149
Practice Address - Country:US
Practice Address - Phone:816-875-6113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities