BETTY LOU WALLACE RECOVERY LLC (NPI# 1225496052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225496052 |
| Entity Type | Organization |
| Organization Name | BETTY LOU WALLACE RECOVERY LLC |
| Other Organization Name | MIDWEST RECOVERY CENTERS |
| Practice Address |
13350 Holmes Rd Kansas City MO 64145-1437 |
| Practice Telephone | 8165997382 |
| Practice Fax Number | 8165997510 |
| Mailing Telephone | 8165997382 |
| Mailing Fax Number | 8165997510 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | MR. JEFFERY LEE HOWARD (CEO) |
| Authorized Official Telephone | 4802283263 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MO | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Midwest Recovery Centers | Doing Business As Name - Organization |
| Street Address |
13350 HOLMES RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64145-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701456 | Cathy Mckay | Nurse Practitioner | 13101 Stateline Road, Kansas City, MO 64145 | 2015-06-02 |
| 1457788135 | Alex Sharifian Dds Madison Dental Group PC | Dentist | 13541 Madison Avenue, Kansas City, MO 64145 | 2013-09-26 |
| 1598852949 | Richard B Bluel | Chiropractor | 13356 Holmes Road, Kansas City, MO 64145 | 2006-10-06 |
| 1225144470 | Gregory A. Stiver | Dentist | 325 East 135th St., Kansas City, MO 64145 | 2006-08-21 |
| 1710493432 | Ashlyn G Simmons | Social Worker | 421 E 137th St, Kansas City, MO 64145 | 2017-12-18 |
| 1255841532 | Lorna Adair Mccartney | Nurse Practitioner | 11901 Wornall Rd, Bldg 8, Ste 105, Kansas City, MO 64145 | 2017-10-02 |
| 1235678525 | Brook Operations LLC | Assisted Living Facility | 12942 Wornall Rd, Kansas City, MO 64145 | 2017-02-20 |
| 1639440837 | Michael David Ciaccio | Counselor | 421 E 137th St, Kansas City, MO 64145 | 2012-01-19 |
| 1578841573 | Gregory A. Stiver, D.d.s., P.C. | Dental Laboratory | 325 East 135th St., Kansas City, MO 64145 | 2011-07-26 |
| 1427293430 | Total Renal Care Inc | Clinic/Center | 12110 Holmes Rd, Kansas City, MO 64145 | 2008-12-04 |
| Find all providers in zip 64145 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801218276 | Serenity Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 7933 State Ave Ste 203, Kansas City, KS 66112-2468 | 2014-01-20 |
| 1740538982 | Frontline Intervention Solution Today-organization LLC Limited Liabili | Substance Abuse Rehabilitation Facility | 3211 N 38th St, Kansas City, KS 66104-3726 | 2012-08-20 |
| 1447388210 | Sarita'lynne Ministries | Substance Abuse Rehabilitation Facility | 207 W Linwood Blvd # 23, Kansas City, MO 64111-1327 | 2007-03-01 |
| 1881733418 | Deaf Hope Inc. | Substance Abuse Rehabilitation Facility | 930 Pacific Ave, Kansas City, KS 66101-3634 | 2007-02-06 |
| 1639218852 | Substance Abuse Center of East Kansas | Substance Abuse Rehabilitation Facility | 3505 Rainbow Blvd, Kansas City, KS 66103-2078 | 2007-02-05 |
| 1962542407 | Rediscover | Substance Abuse Rehabilitation Facility | 301 E Armour Blvd, 4th Floor, Kansas City, MO 64111-1245 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112967 | Hurdler Outreach Services LLC | Substance Abuse Rehabilitation Facility | 6425 Evanston Ave, Raytown, MO 64133-4931 | 2020-10-21 |
| 1912529041 | Ip Reserve | Substance Abuse Rehabilitation Facility | 21708 Nickel Ave, Gallatin, MO 64640-6369 | 2020-05-12 |
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1639723463 | Haven Recovery Homes | Substance Abuse Rehabilitation Facility | 3929 Michigan Ave, Saint Louis, MO 63118-4324 | 2019-07-30 |
| 1356875678 | Summit Bhc Saint Louis, LLC | Substance Abuse Rehabilitation Facility | 22933 Hwy 61, Eolia, MO 63344 | 2017-04-13 |
| 1821549122 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 2415 W Catalpa St, Springfield, MO 65807-1123 | 2016-10-21 |
| 1326414350 | Synergy Recovery Center | Substance Abuse Rehabilitation Facility | 3955 S Farm Road 223, Rogersville, MO 65742-8807 | 2015-08-13 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1932517653 | Summit Bhc Lafayette LLC | Substance Abuse Rehabilitation Facility | 551 Warren Ave, Saint Louis, MO 63130-4155 | 2014-07-25 |
| 1538571542 | Mothers Against Methamphetamine-opening Doors To Recovery | Substance Abuse Rehabilitation Facility | 17404 Freedom Rd, Willow Springs, MO 65793-7932 | 2014-05-25 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64145 |
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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.