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LAKELAND GROUP HOME
NPI 1386843621
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO

Active since July 17, 2007
15555 LITTLE BLUE RD, KANSAS CITY, MO 64139(816) 512-7515(816) 512-7517 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2020, Aug 23, 2019 (2 updates tracked since 2019).

About Lakeland Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELAND GROUP HOME (NPI 1386843621) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kansas City, Missouri and active in the NPI registry since July 2007. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1386843621
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSTATE OF MISSOURI
Location Address15555 LITTLE BLUE RDKansas City, MO 64139
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(816) 512-7515
Fax(816) 512-7517
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateJuly 17, 2007
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1386843621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
15555 LITTLE BLUE RD, Kansas City, MO 64139
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Other Names 1

Doing Business AsLakeland Group Home

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1386843621. It was assigned to this organization in the NPPES registry on July 17, 2007. The provider is doing business as Lakeland Group Home.

Where is State Of Missouri located?

State Of Missouri is located at 15555 Little Blue Rd, Kansas City, MO 64139. The listed phone number is (816) 512-7515.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.