OrganizationActive
Creative Supports, Inc
NPI 1598828147 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Kansas City, MO
Provider details
- NPI number
- 1598828147
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Dana Guyer, Executive Director
Practice location
1511 Ne Parvin Rd
Kansas City, MO 64116-2304
Phone: (816) 452-6194
Fax: (816) 454-3211
Mailing address
Po Box 10586
Kansas City, MO 64188-0586
Registry dates
- Enumerated
- 2006-12-18
- 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.