Provider Demographics
NPI:1306175229
Name:ABILITY KC
Entity type:Organization
Organization Name:ABILITY KC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROFESSIONAL STANDARDS
Authorized Official - Prefix:MRS
Authorized Official - First Name:PERI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-751-7832
Mailing Address - Street 1:3011 BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3403
Mailing Address - Country:US
Mailing Address - Phone:816-751-7900
Mailing Address - Fax:816-751-7982
Practice Address - Street 1:3011 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-3403
Practice Address - Country:US
Practice Address - Phone:816-751-7900
Practice Address - Fax:816-751-7982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO850160706Medicaid