Healthcare Provider Details
I. General information
NPI: 1891103404
Provider Name (Legal Business Name): KARING HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6139 FOREST AVE
KANSAS CITY MO
64110-3427
US
IV. Provider business mailing address
6139 FOREST AVE
KANSAS CITY MO
64110-3427
US
V. Phone/Fax
- Phone: 816-213-7352
- Fax:
- Phone: 816-213-7352
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | 2222 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320700000X |
| Taxonomy | Physical Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | MO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name:
MARQUITA
MURRAY
Title or Position: OWNER
Credential:
Phone: 816-213-7352