MEDICARE: FACESON'S RESIDENTIAL-STRATFORD HOUSE

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	MO

General Provider Information

NPI Number	:	1982806790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FACESON'S RESIDENTIAL-STRATFORD HOUSE

Provider Business Mailing Address
First Line	:	10724 BELLAIRE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-2548
Country	:	US
Telephone Number	:	816-965-5965
Fax Number	:	816-965-5966

Provider Business Practice Location Address
First Line	:	10724 BELLAIRE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-2548
Country	:	US
Telephone Number	:	816-965-5965
Fax Number	:	816-965-5966

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. HERELDINE I FACESON
Credential	:
Telephone Number	:	816-965-5965

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	03/02/2010

Similar Medicare Providers

1215063060 — COUNTY OF BOX ELDER
Practice Location Address:

1 S MAIN ST
BRIGHAM CITY, UT
84302-2548

Practice Phone: 435-734-3331
Practice Fax:

1336389543 — AMANDA LEE WILLIAMS P.T.
Practice Location Address:

520 BIRDSONG DR
LEAGUE CITY, TX
77573-2548

Practice Phone: 832-260-8993
Practice Fax: 832-426-0299

1972832574 — ADVANCED CHILDRENS THERAPY GROUP LTD.
Practice Location Address:

520 BIRDSONG DR
LEAGUE CITY, TX
77573-2548

Practice Phone: 832-260-8993
Practice Fax:

1396019295 — DENIS J GULLIVER DCPA
Practice Location Address:

2548 S VOLUSIA AVE
ORANGE CITY, FL
32763-9124

Practice Phone: 386-775-3223
Practice Fax:

1598015794 — MRS. KAREN ELIZABETH COOPER RN, NP-C
Practice Location Address:

6807 EMMETT F LOWRY EXPY STE 305
TEXAS CITY, TX
77591-2548

Practice Phone: 409-934-8687
Practice Fax: 409-934-8689

1578996351 — CHARLENE A TRINIDAD PT
Practice Location Address:

520 BIRDSONG DR
LEAGUE CITY, TX
77573-2548

Practice Phone: 832-260-8993
Practice Fax: 832-426-0299

Directions to “FACESON'S RESIDENTIAL-STRATFORD HOUSE ” 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.