OrganizationActive
Community Support Partners
NPI 1942348164 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Lone Jack, MO
Provider details
- NPI number
- 1942348164
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cory Royer, Owner(816) 777-1301
- License
- 6450-9633 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 6450-9633 (MO)
Residential Treatment 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
505 N Bynum Rd
Lone Jack, MO 64070-9589
Phone: (816) 777-1301
Fax: (816) 777-1305
Street-level locationGet directions
Mailing address
10330 Hickman Mills Dr
Kansas City, MO 64137-1618
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2009-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.