Healthcare Provider Details

I. General information

NPI: 1376135012
Provider Name (Legal Business Name): PIECES PEACES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 BROOKLYN AVE
KANSAS CITY MO
64127-3824
US

IV. Provider business mailing address

2918 WOODLAND AVE
KANSAS CITY MO
64109-1634
US

V. Phone/Fax

Practice location:
  • Phone: 816-745-6591
  • Fax: 816-442-7216
Mailing address:
  • Phone: 816-745-6591
  • Fax: 816-442-7216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SHEMIA THOMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA, MPA, CADC
Phone: 816-745-6591