MRACLES RESIDENTIAL CARE LLC-GOWER HOUSE
NPI 1992821102
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO

Q: What is Mracles Residential Care Llc-Gower House's specialty?

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

Active since March 21, 2007

1130 E 75TH TER, KANSAS CITY, MO 64131(816) 437-7027(816) 437-7027 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mracles Residential Care Llc-gower House NPPES

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

MRACLES RESIDENTIAL CARE LLC-GOWER HOUSE (NPI 1992821102) 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 Dedree Renee Carlisle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992821102

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMRACLES RESIDENTIAL CARE LLC-GOWER HOUSE

Location Address1130 E 75TH TERKansas City, MO 64131-1901

Mailing Address1130 E 75th TerKansas City, MO 64131-1901 · (816) 437-7027 · Fax (816) 437-7027

Phone(816) 437-7027

Fax(816) 437-7027

Organization SubpartNo

Authorized OfficialDedree Renee CarlisleAdministrator · (816) 437-7027

Enumeration DateMarch 21, 2007

Last NPPES UpdateOctober 16, 2013

✔ NPI 1992821102 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.

1130 E 75TH TER, Kansas City, MO 64131

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Other Identifiers 1

Medicaid856158001MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRACLES RESIDENTIAL CARE LLC-FALL HOUSE

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1130 E 75TH TER
KANSAS CITY, MO 64131

Jackson County (816) 521-8896

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 Mracles Residential Care Llc-Gower House's NPI number?

The NPI number for Mracles Residential Care Llc-Gower House is 1992821102. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Mracles Residential Care Llc-Gower House located?

Mracles Residential Care Llc-Gower House is located at 1130 E 75th Ter, Kansas City, MO 64131. The listed phone number is (816) 437-7027.

What is Mracles Residential Care Llc-Gower House'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 Mracles Residential Care Llc-Gower House was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.