CAUDELL SPECIALIZED CARE INC (NPI# 1841478138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841478138 |
| Entity Type | Organization |
| Organization Name | CAUDELL SPECIALIZED CARE INC |
| Other Organization Name | ICAN |
| Practice Address |
14300 E 32nd St S Independence MO 64055-2508 |
| Practice Telephone | 8162544226 |
| Mailing Telephone | 8162544226 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MR. ROCKY LEE CAUDELL (ADMINISTRATOR) |
| Authorized Official Telephone | 8162544226 |
| 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 |
| Other Name | Type Code |
|---|---|
| ICAN | Doing Business As Name - Organization |
| Street Address |
14300 E 32ND ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205969896 | Caudell Specialized Care | Day Training, Developmentally Disabled Services | 14300 E 32nd St S, Independence, MO 64055-2508 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1750738084 | Building On Dreams | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 638 Rockwell Ave, Independence, MO 64056-3132 | 2016-05-17 |
| 1518245745 | Harry S Truman Childrens Neurological Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12404 E Us Highway 40, Independence, MO 64055-5954 | 2011-07-21 |
| 1598083867 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27683 Ivy Springs Dr, Independence, LA 70443-4927 | 2010-05-12 |
| 1386967495 | Care By Cassie Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 E Bellevista Dr, Independence, MO 64055-1748 | 2010-03-03 |
| 1932432291 | Care By Cassie, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3514 S Cottage Ave, Independence, MO 64055-3133 | 2009-09-17 |
| 1033383641 | Community Access | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1402 S Lees Summit Rd, Independence, MO 64050-4117 | 2008-04-15 |
| 1164601357 | Care By Cassie | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3816 S Union St, Independence, MO 64055-3150 | 2007-10-24 |
| 1760681415 | State of Missouri | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1501 N River Blvd, Independence, MO 64050-1760 | 2007-07-13 |
| 1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
| 1558569103 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3704 S. Blue Ridge Blvd, Independence, MO 64052 | 2007-07-05 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.