1679771695 NPI number — DELONN'S RESIDENTIAL SERVICES, INC.

Table of content: ERICA SIVELS CERT PHLETOBOMIST (NPI 1659744704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679771695 NPI number — DELONN'S RESIDENTIAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELONN'S RESIDENTIAL SERVICES, INC.
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:
Provider Other Organization Name Type Code:
6
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:
1679771695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 900
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64108-2416
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-714-9138
Provider Business Mailing Address Fax Number:
800-714-9138

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 900
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-2416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-714-9138
Provider Business Practice Location Address Fax Number:
800-714-9138
Provider Enumeration Date:
07/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXANDER
Authorized Official First Name:
ANTOINETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
800-714-9138

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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