MEDICARE: COLA'S PLACE

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	:	1740306117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLA'S PLACE

Provider Business Mailing Address
First Line	:	420 CYPRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2145
Country	:	US
Telephone Number	:	816-920-6084
Fax Number	:	816-920-6084

Provider Business Practice Location Address
First Line	:	420 CYPRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64124-2145
Country	:	US
Telephone Number	:	816-920-6084
Fax Number	:	816-920-6084

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. AMATHA M. ELLIOTT-GRAY
Credential	:
Telephone Number	:	816-920-6084

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1225297641 — AMATHA M. ELLIOTT-GRAY
Practice Location Address:

420 CYPRESS AVE
KANSAS CITY, MO
64124-2145

Practice Phone: 816-920-6084
Practice Fax:

1932749066 — MERCEDES LABRADOR
Practice Location Address:

7821 E 49TH ST
KANSAS CITY, MO
64129-2145

Practice Phone: 816-797-0502
Practice Fax:

1194153692 — REDEMPTION CONSUMER DIRECTED SERVICES
Practice Location Address:

8130 HOLMES RD
KANSAS CITY, MO
64131-2145

Practice Phone: 816-974-8057
Practice Fax: 816-301-7524

1114713088 — THE SACRED WOMB
Practice Location Address:

7821 E 49TH ST
KANSAS CITY, MO
64129-2145

Practice Phone: 816-797-0502
Practice Fax:

1639862303 — CHRISTOPHER PHAM DDS
Practice Location Address:

825 EUCLID AVE
KANSAS CITY, MO
64124-2323

Practice Phone: 816-474-4920
Practice Fax:

1588426571 — ALIYA NOOR
Practice Location Address:

825 EUCLID AVE
KANSAS CITY, MO
64124-2323

Practice Phone: 816-474-4920
Practice Fax:

Directions to “COLA'S PLACE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.