Provider Demographics
NPI:1770238933
Name:WE CELEBRATE RYAN'S FUTURE, INC
Entity Type:Organization
Organization Name:WE CELEBRATE RYAN'S FUTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-979-8038
Mailing Address - Street 1:1033 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3301
Mailing Address - Country:US
Mailing Address - Phone:785-979-8038
Mailing Address - Fax:
Practice Address - Street 1:4211 WIMBLEDON DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2034
Practice Address - Country:US
Practice Address - Phone:785-979-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200592110Medicaid
KS30003885140001Medicaid