Provider Demographics
NPI:1588842652
Name:BEAUTIFUL BLESSINGS
Entity Type:Organization
Organization Name:BEAUTIFUL BLESSINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOWNTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,CMT, CMA,
Authorized Official - Phone:816-728-2568
Mailing Address - Street 1:9525 N KENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3337
Mailing Address - Country:US
Mailing Address - Phone:816-734-4377
Mailing Address - Fax:
Practice Address - Street 1:9525 N KENWOOD CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-3337
Practice Address - Country:US
Practice Address - Phone:816-734-4377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22059525OtherDMH GROUP HOME