OrganizationActive
Bracken Homes
NPI 1265654628 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Belton, MO
Provider details
- NPI number
- 1265654628
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gail Rudolph, Suprv Qmrp(816) 507-8997
- License
- 8000161 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 8000161 (MO)
Residential Treatment Facilities
Practice location
8108 Bel Ray Dr
Belton, MO 64012
Phone: (816) 507-8997
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 454
Raymore, MO 64012
Registry dates
- Enumerated
- 2007-05-03
- 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.