Healthcare Provider Details

I. General information

NPI: 1063375483
Provider Name (Legal Business Name): ABOVE & BEYOND ADULT DAYCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 LOGAN AVE
KANSAS CITY MO
64136-1161
US

IV. Provider business mailing address

4727 LOGAN AVE
KANSAS CITY MO
64136-1161
US

V. Phone/Fax

Practice location:
  • Phone: 816-761-3500
  • Fax: 816-761-3507
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TAKIYA PHILLIPS
Title or Position: COO
Credential:
Phone: 816-761-3500