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NPI Code Detail

MEDICARE: LATREACE ANTHONY CNA

MEDICARE: LATREACE ANTHONY CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult CompanionMO026850901879
2373H00000XDay Training/Habilitation SpecialistMO026850901879MO
33747P1801XPersonal Care AttendantMO026850901879MO
4374T00000XReligious Nonmedical Nursing PersonnelMO026850901879MO
5385H00000XRespite CareMO026850901879MO
6376K00000XNurse's AideMO026850901879MO
7374U00000XHome Health AideMO026850901879MO
8261QM0850XAdult Mental Health Clinic/CenterMO026850901879MO
9146D00000XPersonal Emergency Response AttendantMO026850901879MO
10311ZA0620XAdult Care Home FacilityMO026850901879MO
11313M00000XNursing Facility/Intermediate Care FacilityMO026850901879MO
12332BX2000XOxygen Equipment & Supplies (DME)MO026850901879MO
13372500000XChore ProviderMO026850901879MO

General Provider Information

NPI Number : 1639030109
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATREACE ANTHONY CNA
Provider Business Mailing Address
First Line : 1104 ASKEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-1521
Country : US
Telephone Number : 816-335-7030
Fax Number :
Provider Business Practice Location Address
First Line : 1104 ASKEW AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-1521
Country : US
Telephone Number : 816-335-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 11/24/2025

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1356065627 — KVC BEHAVIORAL HEALTHCARE MISSOURI INC
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1911 E 23RD ST
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64127-3701
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Practice Fax:
1598810582 — KVC BEHAVIORAL HEALTHCARE MISSOURI INC
Practice Location Address:
1911 E 23RD ST
KANSAS CITY, MO
64127-3701
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Practice Fax: 816-231-9368

Directions to “ LATREACE ANTHONY CNA” Practice Location

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