CAUDELL SPECIALIZED CARE (NPI# 1205969896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205969896 |
| Entity Type | Organization |
| Organization Name | CAUDELL SPECIALIZED CARE |
| Other Organization Name | ICAN |
| Practice Address |
14300 E 32nd St S Independence MO 64055-2508 |
| Practice Telephone | 8162544226 |
| Practice Fax Number | 8168338638 |
| Mailing Telephone | 8162544226 |
| Mailing Fax Number | 8168338638 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | MR. ROCKY L CAUDELL (ADMINISTRATOR) |
| Authorized Official Telephone | 8162544226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| ICAN | Doing Business As Name - Organization |
| Street Address |
14300 E 32ND ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841478138 | Caudell Specialized Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14300 E 32nd St S, Independence, MO 64055-2508 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483296 | Chinique Care LLC | Day Training, Developmentally Disabled Services | 13905 E 39th St S Ste 105, Independence, MO 64055-3378 | 2020-09-28 |
| 1790834406 | B & D Services, Inc. | Day Training, Developmentally Disabled Services | 212 1st St E, Independence, IA 50644-2813 | 2007-01-10 |
| 1942474499 | Community Access | Day Training, Developmentally Disabled Services | 1814 N Whitney Rd, Independence, MO 64058-1574 | 2008-04-16 |
| 1396877544 | B & D Services, Inc. | Day Training, Developmentally Disabled Services | 212 1st St E, Independence, IA 50644-2813 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045068 | Phillip Brown | Day Training, Developmentally Disabled Services | 4954 Hurstborough Ct, Hazelwood, MO 63042-1592 | 2020-05-26 |
| 1487205365 | Dreams, LLC | Day Training, Developmentally Disabled Services | 105 E Main St Ste 10, Richmond, MO 64085-1729 | 2019-09-23 |
| 1669037701 | Amanda Elizabeth Derousse | Day Training, Developmentally Disabled Services | 1527 Deerwood Dr, Jackson, MO 63755-4148 | 2019-05-03 |
| 1841770955 | Goodwill of Western Missouri and Eastern Kansas | Day Training, Developmentally Disabled Services | 1817 Campbell St, Kansas City, MO 64108-1739 | 2018-08-17 |
| 1457880965 | Shawn William Cairer | Day Training, Developmentally Disabled Services | 24857 Highway O, Sedalia, MO 65301-0341 | 2017-06-08 |
| 1023559481 | Vocational Visionary Opportunities | Day Training, Developmentally Disabled Services | 10105 Us Highway 63, West Plains, MO 65775-4504 | 2017-03-17 |
| 1588101315 | Reliable Home Health Services, LLC | Day Training, Developmentally Disabled Services | 663 Olivia Dr, Cape Girardeau, MO 63701-2742 | 2017-01-31 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1881140556 | Paula Smith | Day Training, Developmentally Disabled Services | 810 E North Main St, Richmond, MO 64085-1916 | 2016-08-31 |
| 1649723081 | St. Louis Project Club | Day Training, Developmentally Disabled Services | 3662 S Broadway S, Saint Louis, MO 63118-4045 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on CAUDELL SPECIALIZED CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.