SHEPHERD'S LANE
NPI 1649398769
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO

Q: What is Alyce D. Clark's NPI number?

The NPI number for Alyce D. Clark is 1649398769. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Shepherd's Lane.

Q: What is Alyce D. Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyce D. Clark was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 27, 2007

10640 HOLMES ROAD, KANSAS CITY, MO 64131(816) 943-1300(816) 942-7443 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shepherd's Lane NPPES

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

SHEPHERD'S LANE (NPI 1649398769) 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 March 2007. The organization lists Alyce Denise Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1649398769

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameALYCE D. CLARK

Location Address10640 HOLMES ROADKansas City, MO 64131-3404

Mailing Address10640 Holmes RdKansas City, MO 64131-3404 · (816) 943-1300 · Fax (816) 942-7443

Phone(816) 943-1300

Fax(816) 942-7443

Organization SubpartNo

Authorized OfficialAlyce Denise ClarkOwner · (816) 943-1300

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 29, 2008

✔ NPI 1649398769 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

License✔ Licensed in MO · 856274402

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

10640 HOLMES ROAD, Kansas City, MO 64131

Open in Google Maps ↗

Other Names 1

Doing Business AsShepherd's Lane

Other Identifiers 2

Medicaid856274402MO

Other8002103MO · Dmh Vendor Number

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 Alyce D. Clark's NPI number?

The NPI number for Alyce D. Clark is 1649398769. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Shepherd's Lane.

Where is Alyce D. Clark located?

Alyce D. Clark is located at 10640 Holmes Road, Kansas City, MO 64131. The listed phone number is (816) 943-1300.

What is Alyce D. Clark'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 Alyce D. Clark was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.