OrganizationActive
Home Away From Home Healthcare Facility
NPI 1124233770 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grandview, MO
Provider details
- NPI number
- 1124233770
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Angelina Reynolds, Co-Owner(816) 525-2470
Specialties & taxonomies
Residential Treatment Facilities
Practice location
13323 Crystal Ave
Grandview, MO 64030-3338
Phone: (816) 525-2470
Approximate (ZIP-level) locationGet directions
Mailing address
2004 Sw Kline Ave
Lees Summit, MO 64082-4064
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2008-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.