Individual provider · NPI-1

Latreace Anthony, CNA

Nurse's Aide · Kansas City, MO

NPI number1639030109
StatusActive
Last updated in NPPESNov 24, 2025

Details

NPI
1639030109
Entity type
Individual (NPI-1)
Name
Latreace Anthony
Credential
CNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 24, 2025
Certification date
Oct 18, 2025
Last updated
Nov 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideMO026850901879MOYes
372600000X Adult CompanionMO026850901879–
373H00000X Day Training/Habilitation SpecialistMO026850901879MO
3747P1801X Technician, Personal Care AttendantMO026850901879MO
374T00000X Religious Nonmedical Nursing PersonnelMO026850901879MO
385H00000X Respite CareMO026850901879MO
374U00000X Home Health AideMO026850901879MO
261QM0850X Clinic/Center, Adult Mental HealthMO026850901879MO
146D00000X Personal Emergency Response AttendantMO026850901879MO
311ZA0620X Custodial Care Facility, Adult Care HomeMO026850901879MO
313M00000X Nursing Facility/Intermediate Care FacilityMO026850901879MO
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & SuppliesMO026850901879MO
372500000X Chore ProviderMO026850901879MO

Other names

  • Cherry Tree (Other Name)

Practice location

1104 Askew Ave
Kansas City, MO 64127-1521

Phone 816-335-7030

Mailing address

1104 Askew Ave
Kansas City, MO 64127-1521

Phone 816-335-7030

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