MEDICARE: INCLUSIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1245179662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INCLUSIONS LLC

Provider Business Mailing Address
First Line	:	4205 S HOCKER DR STE 200
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-4764
Country	:	US
Telephone Number	:	201-954-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	4205 S HOCKER DR STE 200
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-4764
Country	:	US
Telephone Number	:	201-954-1151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT PENA
Credential	:
Telephone Number	:	201-954-1151

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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