NPI 1669369070
Javinchis Angels, LLC
Practice location
- Address
- 4397 SW Breezy Point Ln, Lees Summit, MO 64082-4772
- Phone
- (970) 471-5641
- Mailing address
- 1404 SW Market St Unit 1216, Lees Summit, MO 64063-3100
Authorised official
- Name
- Tracy Horn
- Title
- Executive Director
- Phone
- (970) 471-5641
Registered specialties (15)
Substance Abuse Rehabilitation Facility
Primary
Lodging Provider
Case Management Agency
Home Health Agency
Home Infusion Agency
Community/Behavioral Health Agency
Voluntary or Charitable Agency
Assisted Living Facility
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Custodial Care Facility
Adult Care Home Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1669369070
- Entity type
- Organization
- NPI issued
- 18 Jun 2025
- Record last updated
- 18 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.