LORIA FAYE BUTLER (NPI# 1922501766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922501766 |
| Entity Type | Individual |
| Full Name | LORIA FAYE BUTLER |
| Practice Address |
4518 Cypress Ave Kansas City MO 64130-2164 |
| Practice Telephone | 8169128598 |
| Mailing Telephone | 8169128598 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | WL-1004-INIT | MO | Residential Treatment Facilities |
| Street Address |
4518 CYPRESS AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64130-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979532 | Jaiesha Releford | Home Health | 2403 E 49th St, Kansas City, MO 64130 | 2019-08-29 |
| 1932662335 | Roche' Burrell | Licensed Practical Nurse | 5221 Prospect Ave, Kansas City, MO 64130 | 2019-04-11 |
| 1154889947 | Laura Mizell | Social Worker | 3801 Blue Pwky, Kansas City, MO 64130 | 2019-03-11 |
| 1548789597 | Gifted Hands- Talented Minds | Clinic/Center | 3211 E. 60th Street, Kansas City, MO 64130 | 2017-09-11 |
| 1477083129 | Laura Kay Hyland | Registered Nurse | 5931 Swope Parkway, Kansas City, MO 64130 | 2017-06-15 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1790079291 | Zaron F. Kanion/myers Dental Clinic Dds, PC | Dentist | 5240 Prospect, Kansas City, MO 64130 | 2011-06-02 |
| 1235436593 | Omonosa Transportation and Social Services LLC | Meals | 4311 Prospect Ave, Kansas City, MO 64130 | 2011-02-23 |
| 1871826461 | All Families Health Center, LLC | Family Medicine | 4301 Cleveland Ave, Kansas City, MO 64130 | 2009-09-14 |
| 1922210442 | Trena Mae Leiter | Dentist | 3801 Blue Parkway, Kansas City, MO 64130 | 2007-05-04 |
| Find all providers in zip 64130 | ||||
| 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 |
|---|---|---|---|---|
| 1003338328 | Joystar Group Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 748 E 124th St, Kansas City, MO 64146-1100 | 2017-07-07 |
| 1508190562 | Anything Is Possible | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8308 E 93rd St, Kansas City, MO 64138-4609 | 2009-09-23 |
| 1275866881 | Charles Mutumba | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9807 Wornall Rd, #d, Kansas City, MO 64114-3986 | 2009-09-14 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1033375316 | Inga's Place, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11601 Bennington Ave, Kansas City, MO 64134-3714 | 2008-08-05 |
| 1245404953 | Aleisa Horne | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8304 E 91st St, Kansas City, MO 64138-4347 | 2008-04-15 |
| 1972776789 | Hope Care Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11704 Winchester Ave Apt 3, Kansas City, MO 64134-3831 | 2008-04-12 |
| 1649443664 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 N White Ave, Kansas City, MO 64123-1556 | 2008-04-10 |
| 1467625483 | Greater Kansas City Foundation for Citizens With Disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3219 Lexington Ave, Kansas City, MO 64124-1949 | 2008-04-10 |
| 1407032311 | Greater Kansas City Foundation for Citizens W/disabilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4111 E 100th Ter, Kansas City, MO 64137-1403 | 2008-01-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64130 |
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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.