Healthcare Provider Details

I. General information

NPI: 1437816972
Provider Name (Legal Business Name): CARENSTUFF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11101 SUNNYSLOPE DR
KANSAS CITY MO
64134-3145
US

IV. Provider business mailing address

11101 SUNNYSLOPE DR
KANSAS CITY MO
64134-3145
US

V. Phone/Fax

Practice location:
  • Phone: 816-419-6007
  • Fax:
Mailing address:
  • Phone: 816-419-6007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE L. ROSS
Title or Position: OWNER
Credential:
Phone: 816-419-6007