MULBERRY STREET LLC
NPI 1902099013
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blue Springs, MO
About Mulberry Street Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MULBERRY STREET LLC (NPI 1902099013) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Blue Springs, Missouri and active in the NPI registry since August 2007. The organization lists Diane Marie Mack, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Mulberry Street LLC's NPI number?
The NPI number for Mulberry Street LLC is 1902099013. It was assigned to this organization in the NPPES registry on August 22, 2007.
Where is Mulberry Street LLC located?
Mulberry Street LLC is located at 1519 SW State Route 7, Blue Springs, MO 64014. The listed phone number is (816) 224-2000.
What is Mulberry Street LLC'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 Mulberry Street LLC was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mulberry Street Llc · NPI 1902099013
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Blue Springs, Missouri. Organization record, active in the CMS NPPES registry since August 22, 2007.
## Identity
- **NPI:** 1902099013 (Entity type: Organization)
- **Enumerated:** August 22, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Diane Mack, PRESIDENT
## Practice location
- **Address:** 1519 SW STATE ROUTE 7, Blue Springs, MO 64014-3944
- **Phone:** (816) 224-2000
## Record status
- **NPPES last updated:** January 7, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1902099013) · Data from the CMS NPPES public registry.