Healthcare Provider Details

I. General information

NPI: 1487528550
Provider Name (Legal Business Name): ADVANCEDINSTACARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 E APACHE ST
GARDNER KS
66030-7838
US

IV. Provider business mailing address

524 E APACHE ST
GARDNER KS
66030-7838
US

V. Phone/Fax

Practice location:
  • Phone: 913-575-1053
  • Fax:
Mailing address:
  • Phone: 913-575-1053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: FAITH MBINDA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 913-575-1053