Provider Demographics
NPI:1336816347
Name:FOSTER ADOPT CONNECT, INC.
Entity Type:Organization
Organization Name:FOSTER ADOPT CONNECT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-659-9358
Mailing Address - Street 1:18600 E 37TH TERRACE SOUTH
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-1707
Mailing Address - Country:US
Mailing Address - Phone:816-350-0215
Mailing Address - Fax:816-350-0085
Practice Address - Street 1:18600 E 37TH TERRACE SOUTH
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-1707
Practice Address - Country:US
Practice Address - Phone:816-350-0215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty