REFLECTION OF PEACE HOME CARE AND ASSISTED LIVING (NPI# 1841627734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841627734 |
| Entity Type | Organization |
| Organization Name | REFLECTION OF PEACE HOME CARE AND ASSISTED LIVING |
| Practice Address |
19988 W 162nd St Olathe KS 66062 |
| Mailing Address |
19933 W 162nd St Olathe KS 66062-2787 |
| Practice Telephone | 9138399068 |
| Practice Fax Number | 9138153463 |
| Mailing Telephone | 9132239670 |
| Mailing Fax Number | 9132575879 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | SHEENA NICOLE MANN (DIRECTOR) |
| Authorized Official Telephone | 9132239670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | KS | Residential Treatment Facilities | |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | KS | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9212 W 103rd St, Apt A, Overland Park, KS 662125501 | 9137663926 |
| Street Address |
19988 W 162ND ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972638021 | Horizon Homes and Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15722 W 144th St, Olathe, KS 66062-4831 | 2007-02-22 |
| 1629116694 | Krista Lee Wade | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12520 S Cottonwood Dr, Olathe, KS 66062-1196 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247858 | Rising Phoenix Community Living, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1414 W 6th St Ste 101, Lawrence, KS 66044-2266 | 2017-07-13 |
| 1427589993 | Succor Adult Care Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13725 Metcalf Ave # 241, Overland Park, KS 66223-7899 | 2017-03-25 |
| 1174986392 | Transitions Youth Homes, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2426 E Conquest St, Wichita, KS 67219-4768 | 2016-04-04 |
| 1427425115 | Samantha Collins | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 710 Sw Fairlawn Rd Apt 301a, Topeka, KS 66606-2374 | 2015-08-28 |
| 1447677935 | Shirley Kay Mcdonald | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1306 Belton St, Iola, KS 66749-3057 | 2014-03-24 |
| 1427487602 | Heartland Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8137 Santa Fe Dr, Overland Park, KS 66204-3607 | 2013-11-07 |
| 1558605592 | Shawn Minor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32583 W 172nd St, Gardner, KS 66030-9220 | 2012-11-15 |
| 1093003063 | Happy Sun Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8405 Carter St, Overland Park, KS 66212-4464 | 2011-07-12 |
| 1740598796 | Double Quality Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2338 Se Madison St, Topeka, KS 66605-1151 | 2010-09-23 |
| 1104013754 | Latundra R Butler | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14013 Garnett St, Overland Park, KS 66221-2807 | 2007-09-27 |
| Find all providers with the same taxonomy | ||||
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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.