Provider Demographics
NPI:1427937291
Name:COMPLETE CHOICE SUPPORT, LLC
Entity type:Organization
Organization Name:COMPLETE CHOICE SUPPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:SAIMON
Authorized Official - Last Name:OLOTU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:913-709-7008
Mailing Address - Street 1:15745 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3415
Mailing Address - Country:US
Mailing Address - Phone:913-709-7008
Mailing Address - Fax:
Practice Address - Street 1:800 E 101ST TER STE 350
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-5310
Practice Address - Country:US
Practice Address - Phone:913-242-1208
Practice Address - Fax:913-374-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities