OrganizationActive
Community Connection, LLC
NPI 1407283583 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Olathe, KS
Provider details
- NPI number
- 1407283583
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marcelyn Roe, Owner/Director(913) 851-2617
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
11300 W 175th St
Olathe, KS 66062-9468
Phone: (913) 851-2617
Fax: (913) 851-2617
Approximate (ZIP-level) locationGet directions
Mailing address
11300 W 175th St
Olathe, KS 66062-9468
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.