MEDICARE: JUST SCHOOLING ADULT DAY HEALTH CARE 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	164W00000X	Licensed Practical Nurse	038468	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356567192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUST SCHOOLING ADULT DAY HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	4918 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2806
Country	:	US
Telephone Number	:
Fax Number	:	816-923-1221

Provider Business Practice Location Address
First Line	:	4918 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2806
Country	:	US
Telephone Number	:	816-923-1114
Fax Number	:	816-923-1221

Authorized Official
Title or Position	:	OWNER
Name	:	MS. EARNESTINE KENNEDY
Credential	:
Telephone Number	:	816-923-1114

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	06/25/2008

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