Provider Demographics
NPI:1972252930
Name:STRAWBERRY HILL COMMUNITY SUPPORTS LLC
Entity Type:Organization
Organization Name:STRAWBERRY HILL COMMUNITY SUPPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SACHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-499-9719
Mailing Address - Street 1:423 N THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2935
Mailing Address - Country:US
Mailing Address - Phone:913-499-9719
Mailing Address - Fax:
Practice Address - Street 1:423 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2935
Practice Address - Country:US
Practice Address - Phone:913-499-9719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management