ESSFA AC, LLC


Address: 10895 Lowell Ave Ste 102, Overland Park, KS 66210-1678
Phone: 8772240133

ESSFA AC, LLC (NPI# 1932370319) 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) 1932370319
Entity Type Organization
Organization Name ESSFA AC, LLC
Other Organization Name ESSFA
Practice Address 10895 Lowell Ave Ste 102
Overland Park
KS 66210-1678
Practice Telephone 8772240133
Practice Fax Number 9133411534
Mailing Telephone 8772240133
Mailing Fax Number 9133411534
Enumeration Date 2008-03-13
Last Update Date 2008-03-13
Authorized Official Name MR. JAMES EDWARD JOHNSON III (PRESIDENT)
Authorized Official Telephone 8772240133
Authorized Official Credential RSA, CSA, SA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage KS Agencies

Other Provider/Organization Names

Other Name Type Code
ESSFA Doing Business As Name - Organization

Office Location

Street Address 10895 LOWELL AVE STE 102
City OVERLAND PARK
State KS
Zip Code 66210-1678

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Taxonomy Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437381746 Physician Management and Marketing, Inc. Supports Brokerage 6852 W 188th St, Stilwell, KS 66085-8302 2009-08-20
1679112866 Jeffrey G. Montre Supports Brokerage 400 6th St, Wamego, KS 66547-1835 2020-01-05
1629496377 Independent Connection, Inc. Supports Brokerage 1710 W. Schilling Road, Salina, KS 67401-8131 2014-03-31

Competitor

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City OVERLAND PARK
Zip Code 66210

Improve Information

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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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