NPI Code Detail JSON Logo

1235083635 NPI number — AGELESS ADVENTURES ADULT DAY SERVICES, LLC

NPI Number: 1235083635
Health Care Provider/Practitioner: AGELESS ADVENTURES ADULT DAY SERVICES, LLC

Information about “1235083635” NPI (AGELESS ADVENTURES ADULT DAY SERVICES, LLC) exists in 1235083635 in HTML format HTML  |  1235083635 in plain Text format TXT  |  1235083635 in PDF (Portable Document Format) PDF  |  1235083635 in an XML format XML  formats.

NPI Number : 1235083635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235083635",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AGELESS ADVENTURES ADULT DAY SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2141 PROSPECT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KANSAS CITY",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64127-3146",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "816-522-7944",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2121 PROSPECT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KANSAS CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64127-3146",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-522-7944",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2026",
    "LastUpdateDate": "02/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCANT",
    "AuthorizedOfficialFirstName": "PENNY",
    "AuthorizedOfficialMiddleName": "RACHEL",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MCCANT",
    "AuthorizedOfficialTelephoneNumber": "816-522-7944",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.