OrganizationActive
Kccl LLC
NPI 1720739485 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mission, TX
Provider details
- NPI number
- 1720739485
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sunday Ntiejumokwu, Ceo(832) 693-7024
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3002 Los Milagros
Mission, TX 78572-7580
Phone: (832) 693-7024
Street-level locationGet directions
Mailing address
3002 Los Milagros
Mission, TX 78572-7580
Registry dates
- Enumerated
- 2022-01-14
- Last updated
- 2022-01-14
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.