institution
Home Base Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Overland Park, Kansas
NPI 1649605270

Home Base Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Overland Park, KS. Home Base Llc practices in Overland Park, KS. The NPI Number for Home Base Llc is 1649605270 and holds a License No. 35336422 (Kansas).

The current practice location address for Home Base Llc is 7086 W 105Th St, Overland Park, KS and can be reached out via phone at 913-649-5700.

Location: 7086 W 105Th St, Overland Park, KS, 66212-1803
institution
Provider Profile Details
NPI Number
1649605270
Provider Name
Home Base Llc
Credential
Provider Entity Type
Organization
Address
7086 W 105Th St, Overland Park, KS, 66212-1803
Phone Number
913-649-5700
Fax Number
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200004550A 01 KS PROVIDER
institution
Provider Business Practice Location Address Details
Address
7086 W 105Th St
City
State
Zip
66212-1803
Phone Number
913-649-5700
Fax Number
person
Provider Business Mailing Address Details
Address
7086 W 105Th St
City
State
Zip
66212-1803
Phone Number
913-649-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
35336422 (Kansas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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