Provider Demographics
NPI:1023757150
Name:EXCEPTIONAL HUMANS, INC
Entity type:Organization
Organization Name:EXCEPTIONAL HUMANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COGAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:816-807-0756
Mailing Address - Street 1:36345 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64484-7127
Mailing Address - Country:US
Mailing Address - Phone:816-807-0756
Mailing Address - Fax:
Practice Address - Street 1:5711 NW 64TH TERRRACE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151
Practice Address - Country:US
Practice Address - Phone:816-442-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child