Provider Demographics
NPI:1508182940
Name:CARING HANDS OF KANSAS CITY, INC.
Entity Type:Organization
Organization Name:CARING HANDS OF KANSAS CITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-763-8005
Mailing Address - Street 1:9520 JAMES A REED RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-1689
Mailing Address - Country:US
Mailing Address - Phone:816-763-8005
Mailing Address - Fax:816-966-1459
Practice Address - Street 1:9520 JAMES A REED RD
Practice Address - Street 2:SUITE C
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-1689
Practice Address - Country:US
Practice Address - Phone:816-763-8005
Practice Address - Fax:816-966-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO855347803Medicaid