Healthcare Provider Details

I. General information

NPI: 1497614671
Provider Name (Legal Business Name): CARING HANDS RESIDENTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 NW EAGLE RIDGE DR
GRAIN VALLEY MO
64029-7260
US

IV. Provider business mailing address

1415 NW EAGLE RIDGE DR
GRAIN VALLEY MO
64029-7260
US

V. Phone/Fax

Practice location:
  • Phone: 816-372-4067
  • Fax:
Mailing address:
  • Phone: 816-372-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KEMIEKA S SMITH
Title or Position: EXECUTIVE DIRECTOR, FOUNDER
Credential: NA
Phone: 816-372-4067