Provider Demographics
NPI:1255520474
Name:ALLIANCE PERSONAL CARE. INC.
Entity type:Organization
Organization Name:ALLIANCE PERSONAL CARE. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:VAN RY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-233-0160
Mailing Address - Street 1:1831 MINNESOTA AVENUE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102
Mailing Address - Country:US
Mailing Address - Phone:816-743-0013
Mailing Address - Fax:816-743-0193
Practice Address - Street 1:9720 E. US HWY 40
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-743-0113
Practice Address - Fax:816-743-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
3747P1801X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO286339502-266339506Medicaid