JOLET II, INCORPORATED (NPI# 1407037179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407037179 |
| Entity Type | Organization |
| Organization Name | JOLET II, INCORPORATED |
| Practice Address |
3920 Forest Ave Kansas City MO 64110-1220 |
| Practice Telephone | 8168615189 |
| Practice Fax Number | 8169214259 |
| Mailing Telephone | 8168615189 |
| Mailing Fax Number | 8169214259 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | RONALD K THOMPSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8168615189 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 033218 | MO | Residential Treatment Facilities |
| Street Address |
3920 FOREST AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64110-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926006 | Poetry for Personal Power | Peer Specialist | 1730 E 63rd St, Suite 300, Kansas City, MO 64110 | 2020-09-15 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1053803510 | Humanity Homecare LLC | In Home Supportive Care | 1734 E 63rd St Ste 208, Kansas City, MO 64110 | 2018-05-31 |
| 1316438658 | Brink Healthmeds | Pharmacy | 1620 East 63rd Street, Kansas City, MO 64110 | 2018-05-22 |
| 1578003984 | 1st Action Home Health LLC | In Home Supportive Care | 1734 E 63rd St Ste 407, Kansas City, MO 64110 | 2017-03-03 |
| 1316212285 | Leah Karma Probasco-burns | Counselor | 633 E 63rd St Ste 230, Kansas City, MO 64110 | 2012-03-12 |
| 1093088007 | Amanda Kinsey | Speech-Language Pathologist | 4848 Woodland Ave, Kansas City, MO 64110 | 2012-02-22 |
| 1952612673 | Braxton Baker | Speech-Language Pathologist | 4341 Locust St, Kansas City, MO 64110 | 2010-06-28 |
| 1902031529 | Candice A Robinson Law | Optometrist | Brookside Eye Care Center, 520 E 63rd Street, Kansas City, MO 64110 | 2009-05-27 |
| 1942446232 | School District of Kansas City, Missouri | Clinic/Center | 4747 Flora, Kansas City, MO 64110 | 2008-12-17 |
| Find all providers in zip 64110 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958553 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 2614 Benton Blvd, Kansas City, MO 64127-4149 | 2018-04-05 |
| 1629507306 | The Blue Door Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3535 Wood Ave, Kansas City, KS 66102-2141 | 2017-06-07 |
| 1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
| 1972869659 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 3830 E 60th St, Kansas City, MO 64130-4418 | 2012-04-06 |
| 1124384805 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 3860 E 60th St, Kansas City, MO 64130-4418 | 2012-04-06 |
| 1053677732 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 3859 E 59th Ter, Kansas City, MO 64130-4410 | 2012-04-06 |
| 1609132380 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 3915 Pennsylvania Ave, Kansas City, MO 64111-3071 | 2012-04-06 |
| 1376784033 | Urban Core Rental Services | Community Based Residential Treatment Facility, Mental Illness | 1810 E 48th Ter, Kansas City, MO 64130-2504 | 2009-03-10 |
| 1629118310 | New Horizons Assistance Corporation | Community Based Residential Treatment Facility, Mental Illness | 3920 E Linwood Blvd, Kansas City, MO 64128-2132 | 2007-02-08 |
| 1134284094 | Rockhill Manor Inc | Community Based Residential Treatment Facility, Mental Illness | 4235 Locust St, Kansas City, MO 64110-1016 | 2006-12-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64110 |
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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.