WHOLE AND ACTIVE LIVING LLC (NPI# 1477933802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477933802 |
Entity Type | Organization |
Organization Name | WHOLE AND ACTIVE LIVING LLC |
Practice Address |
7915 Westgate Ct Lenexa KS 66215-2660 |
Practice Telephone | 9137101406 |
Mailing Telephone | 9137101406 |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-01 |
Authorized Official Name | MR. BRETT M BOSLEY (PRESIDENT) |
Authorized Official Telephone | 9137101406 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
7915 WESTGATE CT |
City | LENEXA |
State | KS |
Zip Code | 66215-2660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104206531 | Brett Bosley | Community Health Worker | 7915 Westgate Ct, Lenexa, KS 66215-2660 | 2015-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
Find all providers in zip 66215 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659708519 | Malotte Care Provider Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13220 W 91st Ter, Lenexa, KS 66215-3679 | 2013-10-08 |
1003953399 | Loving Care Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8949 Hauser St, Lenexa, KS 66215-4974 | 2007-01-30 |
1275679359 | Community Living Opportunities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11627 W 79th St, Lenexa, KS 66214-1488 | 2007-01-29 |
1598319493 | Goodlife Innovations Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11627 W 79th St, Lenexa, KS 66214-1488 | 2019-07-29 |
1497217376 | Neighborhood Network Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11627 W 79th St, Lenexa, KS 66214-1488 | 2019-04-01 |
1316483944 | The Neighborhood Network, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11627 W 79th St, Lenexa, KS 66214-1488 | 2017-01-06 |
1013053479 | Community Living Opportunities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11627 W 79th St, Lenexa, KS 66214-1488 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124630132 | Elite Adult Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5001 Looman St, Wichita, KS 67220-3030 | 2020-08-20 |
1720603186 | Beverly Jean Weber Cobb | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3829 Sw Wood Valley Dr, Topeka, KS 66610-1124 | 2020-06-11 |
1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
1912444548 | Developmental Services of Northwest Kansas, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2703 Hall St Ste 10, Hays, KS 67601-1964 | 2017-01-20 |
1255785275 | Lindsey Marts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8809 Grandview St, Overland Park, KS 66212-3643 | 2016-04-15 |
1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
1366861197 | Karen Frye | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4214 N 143rd St E, Wichita, KS 67228-8943 | 2014-04-09 |
1427474485 | Joyce Ann Maley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 2200th St, Iola, KS 66749-3085 | 2014-03-13 |
1174947113 | Avance-d Comminuty Alternatives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7424 Sw 33rd St, Topeka, KS 66614-4663 | 2014-02-11 |
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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.