Organization · Type 2 NPI

Providence Support Services LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kansas City, MO

NPI number 1861311797 Active

Practice location

6204 NE Normandy Dr
Kansas City, MO 64118-4826

Call (913) 404-9848 Map

Fax (913) 884-1720

Mailing address

312 SW Greenwich Dr
Lees Summit, MO 64082-4408

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1861311797

Providence Support Services LLC's National Provider Identifier is 1861311797, issued on Jul 14, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 14, 2026.