ST LUKES HOSPITAL OF KANSAS CITY (NPI# 1386121507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386121507 |
| Entity Type | Organization |
| Organization Name | ST LUKES HOSPITAL OF KANSAS CITY |
| Other Organization Name | CRITTENTON RESIDENTAL TREATMENT FACILITY |
| Practice Address |
10918 Elm Ave Kansas City MO 64134-4108 |
| Practice Telephone | 8167656600 |
| Mailing Telephone | 8167656600 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | AMY NACHTIGAL (CFO) |
| Authorized Official Telephone | 8169329886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 295-38 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NONE | NONE | 01 |
| Other Name | Type Code |
|---|---|
| Crittenton Residental Treatment Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134566409 | St Lukes Hospital of Kansas City | Pharmacy | 4320 Wornall Rd, Suite 128, Kansas City, MO 64111-5941 | 2013-05-28 |
| 1881871069 | St Lukes Hospital of Kansas City | Psychiatry & Neurology | 4320 Wornall Rd, Suite 444, Kansas City, MO 64111-5941 | 2008-01-30 |
| 1598886285 | St Lukes Hospital of Kansas City | Obstetrics & Gynecology | 4400 Broadway St, Kansas City, MO 64111-3498 | 2007-04-02 |
| 1285754317 | St Lukes Hospital of Kansas City | Physical Medicine & Rehabilitation | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2007-03-30 |
| 1538283296 | St Lukes Hospital of Kansas City | Dietitian, Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-03-19 |
| 1083658066 | St Lukes Hospital of Kansas City | Otolaryngology | 4320 Wornall Rd, Suite 512, Kansas City, MO 64111-5941 | 2006-06-16 |
| 1063494177 | St Lukes Hospital of Kansas City | General Acute Care Hospital | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2005-11-15 |
| 1457333593 | St Lukes Hospital of Kansas City | Rehabilitation Unit | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2005-11-15 |
| Street Address |
10918 ELM AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64134-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023109246 | Francis Xavier Barth | Psychiatry & Neurology | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2006-09-27 |
| 1922641067 | Jenna Beth Huesing | Social Worker | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2019-10-22 |
| 1639670979 | Lita Marie Gentry | Social Worker | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2018-02-22 |
| 1255858098 | Reshma Freeman | Counselor | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2017-08-23 |
| 1437685344 | Abby Breithaupt | Social Worker | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2017-05-11 |
| 1427594407 | Joshua Johnson | Counselor | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2017-01-13 |
| 1932642972 | St. Luke's Hospital of Kansas City | General Acute Care Hospital | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2016-11-23 |
| 1235587536 | Jessica Jimenez | Counselor | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2016-05-26 |
| 1518323864 | Marni Shrum | Counselor | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2016-01-01 |
| 1649635301 | Brittney Visser | Social Worker | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2015-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376852863 | Carla Janeen Burdette | Speech-Language Pathologist | 10900 Marsh Ave., Kansas City, MO 64134 | 2010-09-30 |
| 1982733606 | Susan B Kivett | Counselor | 6801 E 117th Street, Kansas City, MO 64134 | 2007-03-06 |
| 1245392463 | Leanora Elizabeth Barreca | Counselor | 10918 Elm Ave., Ks Kansas City, MO 64134 | 2006-12-14 |
| 1700953064 | Marcia Smith Hutchins | Social Worker | 11108 Applewood Dr, Kansas City, MO 64134 | 2006-11-29 |
| 1174531016 | Tanya Elizabeth Feldkamp | Chiropractor | 11720 Blue Ridge Blvd, Kansas City, MO 64134 | 2006-08-04 |
| 1457316515 | Raghuvardhan Davalapur | Psychiatry & Neurology | 10918 Elm Avenue, Critttenton Childrens Center, Kansas City, MO 64134 | 2006-04-19 |
| 1952379950 | Take Care Health Missouri, PC | Nurse Practitioner | 7003 East Bannister Road, Kansas City, MO 64134 | 2006-03-08 |
| 1437142627 | Anne Wetherill Davis | Psychiatry & Neurology | 10918 Elm, Kansas City, MO 64134 | 2005-08-24 |
| 1750945150 | Emily Sawyer | Registered Nurse | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2019-05-01 |
| 1265989032 | Kelsey Lea Janvier | Counselor | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2016-09-08 |
| Find all providers in zip 64134 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1396184925 | Xenia Zeldin Black | Psychiatric Residential Treatment Facility | 8150 Wornall Rd, Kansas City, MO 64114-5806 | 2013-06-17 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1396894119 | Ozanam | Psychiatric Residential Treatment Facility | 421 E 137th St, Kansas City, MO 64145-1455 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| 1841347499 | Compass Health, Inc. | Psychiatric Residential Treatment Facility | 1032 Crosswinds Court, Wentzville, MO 63385 | 2007-01-05 |
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| City | KANSAS CITY |
| Zip Code | 64134 |
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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.