Healthcare Provider Details

I. General information

NPI: 1245179662
Provider Name (Legal Business Name): INCLUSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 S HOCKER DR STE 200
INDEPENDENCE MO
64055-4764
US

IV. Provider business mailing address

4205 S HOCKER DR STE 200
INDEPENDENCE MO
64055-4764
US

V. Phone/Fax

Practice location:
  • Phone: 201-954-1151
  • Fax:
Mailing address:
  • Phone: 201-954-1151
  • 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

VIII. Authorized Official

Name: ROBERT PENA
Title or Position: OWNER
Credential:
Phone: 201-954-1151