MEDICARE: NORTHWEST REGIONAL YOUTH CENTER

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1740503978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST REGIONAL YOUTH CENTER

Provider Business Mailing Address
First Line	:	4901 NE BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-1219
Country	:	US
Telephone Number	:	816-437-3656
Fax Number	:	816-437-3660

Provider Business Practice Location Address
First Line	:	4901 NE BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64156-1219
Country	:	US
Telephone Number	:	816-437-3656
Fax Number	:	816-437-3660

Authorized Official
Title or Position	:	LPN II
Name	:	MS. SONDRA GAYNELLE HAWK
Credential	:	LPN
Telephone Number	:	816-437-3656

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

Similar Medicare Providers

1831411297 — MS. SONDRA GAYNELLE HAWK LPN
Practice Location Address:

4901 NE BARRY RD
KANSAS CITY, MO
64156-1219

Practice Phone: 816-437-3656
Practice Fax: 816-437-3660

1699297226 — STAY AT HOME SOLUTIONS
Practice Location Address:

14120 N ROBINHOOD LN
KANSAS CITY, MO
64164-1219

Practice Phone: 816-721-3034
Practice Fax:

1598907750 — MRS. JULIA THERESA KOVAC RN, LPC
Practice Location Address:

11923 NE SHERMAN RD
KANSAS CITY, MO
64156-1056

Practice Phone: 816-896-6569
Practice Fax: 816-781-8615

1477872794 — JENNIFER NORMAN SLP
Practice Location Address:

3000 NE 108TH ST
KANSAS CITY, MO
64156-6314

Practice Phone: 816-321-6901
Practice Fax: 816-321-5021

1417394164 — MRS. RENEE LYNN DUPAUL COTA/L
Practice Location Address:

9120 N MERSINGTON AVE
KANSAS CITY, MO
64156-3015

Practice Phone: 816-734-0833
Practice Fax:

1861882268 — BRENDA KRIER LPTA
Practice Location Address:

8415 N KENSINGTON AVE
KANSAS CITY, MO
64156-7813

Practice Phone: 816-721-6547
Practice Fax:

Directions to “NORTHWEST REGIONAL YOUTH CENTER ” 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.