Healthcare Provider Details

I. General information

NPI: 1356480974
Provider Name (Legal Business Name): SPECIAL NEIGHBORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 S NOLAND RD STE 110
INDEPENDENCE MO
64055-6505
US

IV. Provider business mailing address

3675 S NOLAND RD STE 110
INDEPENDENCE MO
64055-6505
US

V. Phone/Fax

Practice location:
  • Phone: 816-836-3462
  • Fax: 816-836-5158
Mailing address:
  • Phone: 816-836-3462
  • Fax: 816-836-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberN00020863
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberN00020863
License Number StateMO

VIII. Authorized Official

Name: RENEE P DORMAN
Title or Position: ACCOUNTANT
Credential:
Phone: 816-836-3462