INDIVIDUAL EXPRESSIONS, INC (NPI# 1225237993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225237993 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL EXPRESSIONS, INC |
| Practice Address |
3817 Woodson Drive Raytown MO 64138 |
| Mailing Address |
507 Se 3rd St Lees Summit MO 64063-2810 |
| Practice Telephone | 8165095509 |
| Practice Fax Number | 8163561207 |
| Mailing Telephone | 8165244745 |
| Mailing Fax Number | 8165244751 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MR. MARK ROBERT FORTIN (PRESIDENT) |
| Authorized Official Telephone | 8165095509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
| Street Address |
3817 WOODSON DRIVE |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178160 | Rachel Katherine Volmert | Social Worker | 8800 Blueridge, Kansas City, MO 64138 | 2018-06-19 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1255777280 | Se Jin Oh | Dentist | 10803 Missouri 350, Raytown, MO 64138 | 2013-05-16 |
| 1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
| 1891003927 | Marriah Smith | Adult Companion | 4705 E 109th Terr, Kansas City, MO 64138 | 2010-09-23 |
| 1437467230 | Bos Transportation LLC | Non-emergency Medical Transport (VAN) | 9405 White Ave, Kansas City, MO 64138 | 2010-09-15 |
| 1598935710 | Alex Heydar Motaref Dmd PC | Dentist | 6406 E 87th Street, Suite 101, Kansas City, MO 64138 | 2008-03-04 |
| 1063602456 | Lorenzo T. Hughes Sr. | Massage Therapist | 8908 E. 89th Street, Kansas City, MO 64138 | 2007-07-31 |
| 1285850701 | Alex Heydar Motaref | Dentist | 6406 E 87th St, Suite 101, Kansas City, MO 64138 | 2007-04-17 |
| 1386868297 | Eagle Heights Isl Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8905 Cambridge Ave, Apt 2202, Kansas City, MO 64138 | 2007-04-12 |
| Find all providers in zip 64138 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063535649 | Community Support Partners | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8959 E. 59th Street, Raytown, MO 64133-3709 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189742 | English Haven Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12578 Fee Fee Rd, Saint Louis, MO 63146-3863 | 2020-06-23 |
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1669030086 | Cheree L Corderman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1606 S 38th St, Saint Joseph, MO 64507-2216 | 2019-05-31 |
| 1306400973 | Boyer Aba Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22734 Pioneer Ln, Marshall, MO 65340-4744 | 2019-04-29 |
| 1861954661 | La Bella Vita, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9400 S Smith Hatchery Rd, Columbia, MO 65203-8965 | 2019-04-02 |
| 1104305127 | Shanonn Barr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 S Harlem Ave, Joplin, MO 64804-0336 | 2018-08-09 |
| 1922501766 | Loria Faye Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4518 Cypress Ave, Kansas City, MO 64130-2164 | 2018-03-16 |
| 1447760863 | Parity Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1027 S Main St Ste 301, Joplin, MO 64801-4500 | 2017-10-11 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1922526417 | Hard Knocks LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3381 1st St, Doe Run, MO 63637-3155 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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| 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.