OrganizationActive
Community Living Opportunities
NPI 1134261316 · Mental Illness Intermediate Care Facility · Lenexa, KS
Provider details
- NPI number
- 1134261316
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Floyd, Financial Analyst(913) 341-9316
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11627 W 79th St
Lenexa, KS 66214-1488
Phone: (913) 341-9316
Street-level locationGet directions
Mailing address
Po Box 14395
Lenexa, KS 66285-4395
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.