1306175229 NPI number — ABILITY KC

Table of content: (NPI 1306175229)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306175229 NPI number — ABILITY KC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITY KC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
REHABILITATION INSTITUTE OF KANSAS CITY
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306175229
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/14/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3011 BALTIMORE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64108-3403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-751-7900
Provider Business Mailing Address Fax Number:
816-751-7982

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3011 BALTIMORE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-751-7900
Provider Business Practice Location Address Fax Number:
816-751-7982
Provider Enumeration Date:
12/24/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MARQUARDT
Authorized Official First Name:
PERI
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF PROFESSIONAL STANDARDS
Authorized Official Telephone Number:
816-751-7832

Provider Taxonomy Codes

  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 850160706 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".