Shepherd'S Lane
LBN: Alyce D. Clark
Shepherd'S Lane is an health care organization with primary practice located at 10640 Holmes Road , Kansas City MO 64131-3404. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Alyce D. Clark can be contacted via phone (816) 943-1300, or through Clark, Alyce Denise via phone (816) 943-1300.
Contact Information
Primary practice address
10640 Holmes Road
Kansas City MO 64131-3404
Phone: (816) 943-1300
Fax: (816) 942-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 856274402 | Missouri |
Profile Details
| NPI number | 1649398769 |
|---|---|
| LBN Legal business name | Alyce D. Clark |
| DBA Doing business as | Shepherd'S Lane |
| Authorized official | Clark, Alyce Denise RN, BSN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 29th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649398769 | NPPES |
| Missouri | Other | 8002103 | DMH VENDOR NUMBER |
| Missouri | MEDICAID | 856274402 | DMH VENDOR NUMBER |
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