Provider Demographics
NPI:1851454078
Name:NEW BATES RESIDENTIAL CARE LLC-BATES HOUSE
Entity Type:Organization
Organization Name:NEW BATES RESIDENTIAL CARE LLC-BATES HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-213-7323
Mailing Address - Street 1:PO BOX 9823
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-0823
Mailing Address - Country:US
Mailing Address - Phone:816-943-8037
Mailing Address - Fax:816-965-8119
Practice Address - Street 1:11300 WORNALL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-5344
Practice Address - Country:US
Practice Address - Phone:816-943-8037
Practice Address - Fax:816-965-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services