MRACLES RESIDENTIAL CARE LLC-GOWER HOUSE
NPI 1992821102
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO

NPI Status: Active since March 21, 2007

Contact Information

1130 E 75TH TER
KANSAS CITY, MO
ZIP 64131
Phone: (816) 437-7027
Fax: (816) 437-7027

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About MRACLES RESIDENTIAL CARE LLC-GOWER HOUSE

This page provides the complete NPI Profile along with additional information for Mracles Residential Care Llc-gower House, a provider established in Kansas City, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1992821102 assigned on March 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Dedree Renee Carlisle (Administrator)

NPI
1992821102
Provider Name
MRACLES RESIDENTIAL CARE LLC-GOWER HOUSE
Entity Type
Organization
Location Address
1130 E 75TH TER KANSAS CITY, MO 64131
Location Phone
(816) 437-7027
Location Fax
(816) 437-7027
Mailing Address
1130 E 75TH TER KANSAS CITY, MO 64131
Mailing Phone
(816) 437-7027
Mailing Fax
(816) 437-7027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2007
Last Update Date
10-16-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DEDREE RENEE CARLISLE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(816) 437-7027

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
856158001MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992821102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182162210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 2 + 2 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1992821102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861664591MRACLES RESIDENTIAL CARE LLC-FALL HOUSE
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities1130 E 75TH TER
KANSAS CITY, MO 64131
(816) 521-8896

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992821102, enumerated in the NPI registry as an "organization" on March 21, 2007

The provider is located at 1130 E 75th Ter Kansas City, Mo 64131 and the phone number is (816) 437-7027

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.