Providence Support Services LLC
Providence Support Services LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6204 NE Normandy DrKansas City, MO 64118-4826
Phone: (913) 404-9848
Fax: (913) 884-1720
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1861311797 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresia Mushi — Managing Member · (913) 404-9848 |
| NPI enumerated | July 14, 2026 |
| Last updated in NPPES | July 14, 2026 |
| Certification date | July 14, 2026 |
| Mailing address | 312 Sw Greenwich Dr, Lees Summit, MO 64082-4408 |
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