STATE OF MISSOURI


Address: 5410 Rinker Rd, Kansas City, MO 64129-2308
Phone: 8165127515

STATE OF MISSOURI (NPI# 1922207679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922207679
Entity Type Organization
Organization Name STATE OF MISSOURI
Other Organization Name ESPERANZA GROUP HOME
Practice Address 5410 Rinker Rd
Kansas City
MO 64129-2308
Mailing Address 1706 E Elm St
Jefferson City
MO 65101-4130
Practice Telephone 8165127515
Practice Fax Number 8165127517
Mailing Telephone 5737513398
Mailing Fax Number 5735264560
Enumeration Date 2007-07-13
Last Update Date 2020-10-27
Authorized Official Name MOLLY JANE BOECKMANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
Authorized Official Telephone 5737514055
Is Organization Subpart Y
Parent Organization Name STATE OF MISSOURI

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Esperanza Group Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437781499 State of Missouri Rehabilitation Counselor 3418 Knipp Dr, Jefferson City, MO 65109-5701 2020-02-07
1275073280 State of Missouri General Practice 1547 W Commerce Drive, Marshall, MO 65340-3907 2017-02-24
1528333085 State of Missouri Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1000 N Colorado St, Nevada, MO 64772-1618 2012-03-16
1386843621 State of Missouri Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15555 Little Blue Rd, Kansas City, MO 64139 2007-07-17
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
1164630463 State of Missouri Intermediate Care Facility, Mentally Retarded 11 Brady Cir, Overland, MO 63114-1110 2007-05-18
1548322605 State of Missouri Day Training, Developmentally Disabled Services 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 2006-12-15
1366503153 State of Missouri Day Training, Developmentally Disabled Services 471 E Slater St, Marshall, MO 65340 2006-12-13
1427118033 State of Missouri Day Training, Developmentally Disabled Services 522 Star St, Marshall, MO 65340 2006-12-12
1902966500 State of Missouri Day Training, Developmentally Disabled Services 504 N Elm St, Marshall, MO 65340 2006-12-12

Office Location

Street Address 5410 RINKER RD
City KANSAS CITY
State MO
Zip Code 64129-2308

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114348307 Julie Frymyer Physical Therapist 1 Arrowhead Dr, Kansas City, MO 64129 2013-12-15
1114236189 Samuel U. Rodgers Health Center, Inc. Clinic/Center 6400 E 23rd St, Kansas City, MO 64129 2010-09-24
1679099527 Jade Lee Collins Speech-Language Pathologist 6400 E 23rd St, Kansas City, MO 64129-1103 2017-08-22
1245358001 Jacobs Well of Kansas City Ministries Counselor 5910 E Us Highway 40, Kansas City, MO 64129-1153 2007-03-27
1538291976 Jacobs Well of Kansas City Ministries Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5921 E 31st St, Kansas City, MO 64129-1163 2007-03-12
1043493497 Harmony Place,llc Day Training, Developmentally Disabled Services 5921 E 31st St, Kansas City, MO 64129-1163 2007-12-07
1083732846 Jacobs Well of Kansas City Ministries Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5921 E 31st St, Kansas City, MO 64129-1163 2007-03-27
1821656026 Alec John Nichols Specialist/Technologist 1 Arrowhead Dr, Kansas City, MO 64129-1651 2019-06-03
1134571391 Alec Stahly Specialist/Technologist 1 Arrowhead Dr, Kansas City, MO 64129-1651 2016-07-12
1255701546 Tiffany Nicole Morton Specialist/Technologist 1 Arrowhead Dr, Kansas City, MO 64129-1651 2015-09-30
Find all providers in zip 64129

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
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
1801354113 Assured Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1734 E 63rd St Ste 609, Kansas City, MO 64110-3543 2019-03-05
1992269484 Home Sitter Agency, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1734 E 63rd St Ste 448, Kansas City, MO 64110-3597 2019-01-29
1225546724 Urban Outreach Ministries Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11926 E 44th Ter, Kansas City, MO 64133-2005 2018-01-18
1215454913 Empowering Lives, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4711 Haden Ct, Kansas City, MO 64136 2017-08-24
1033650742 Insight Ind Lp Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1001 W 43rd St, Kansas City, MO 64111-4907 2017-03-14
1134662505 Focused Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4240 N Spruce Ave, Kansas City, MO 64117-1850 2016-12-02
1104287150 Heart To Heart America LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5316 Ne 36th St, Kansas City, MO 64117-2712 2016-03-17
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
Find all providers in KANSAS CITY

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City KANSAS CITY
Zip Code 64129

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Dataset Information

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.

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