Healthcare Provider Details

I. General information

NPI: 1689113326
Provider Name (Legal Business Name): THE SAILS GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7540 LEAVENWORTH RD STE 5A
KANSAS CITY KS
66109-1239
US

IV. Provider business mailing address

20058 VENTURA BLVD # 53
WOODLAND HILLS CA
91364-2637
US

V. Phone/Fax

Practice location:
  • Phone: 816-249-2027
  • Fax: 913-214-1960
Mailing address:
  • Phone: 760-631-7550
  • Fax: 760-650-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateKS
# 7
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateKS

VIII. Authorized Official

Name: MR. IHAB SHAHAWI
Title or Position: CEO
Credential:
Phone: 657-206-9594