Provider Demographics
NPI:1457944308
Name:LOVING ARMS ADULT DAY CARE
Entity type:Organization
Organization Name:LOVING ARMS ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARTSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-941-0224
Mailing Address - Street 1:13856 WYANDOTTE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1518
Mailing Address - Country:US
Mailing Address - Phone:816-941-0224
Mailing Address - Fax:816-943-0599
Practice Address - Street 1:13856 WYANDOTTE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64145-1518
Practice Address - Country:US
Practice Address - Phone:816-941-0224
Practice Address - Fax:816-943-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1306155858Medicaid