Mission Lake Convalescent Center Inc. in Kansas City - Skilled Nursing Facility
Mission Lake Convalescent Center Inc. - NPI 1770528986
Mission Lake Convalescent Center Inc. is a Skilled Nursing Facility in Kansas City, Missouri. Mission Lake Convalescent Center Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Mission Lake Convalescent Center Inc. is 1770528986. The last update date is 2013-02-19.
Mission Lake Convalescent Center Inc.'s current location address is 12110 Holmes Rd, Kansas City, Missouri. You can contact this provider via phone number 8169413006 and fax number 8169428049. The mailing address for Mission Lake Convalescent Center Inc. is 12110 Holmes Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mission Lake Convalescent Center Inc. |
|---|---|
| Address | 12110 Holmes Rd, Kansas City, Missouri |
| Phone Number | 8169413006 |
| Fax Number | 8169428049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rea Loren |
| Telephone Number | 8169413006 |
NPI Number Detail
| NPI Number | 1770528986 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2013-02-19 |
Provider Mailing Address Detail
| Address | 12110 Holmes Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641451707 |
| Phone Number | 8169413006 |
| Fax Number | 8169428049 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 34738 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32111 | MO | PROVIDER | |
| 1770528986 | MO | NPI | |
| 102084506 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mission Lake Convalescent Center Inc. by the Centers for Medicare & Medicaid Services?
The Mission Lake Convalescent Center Inc. has been issued the NPI (National Provider Identifier) 1770528986 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mission Lake Convalescent Center Inc. is physically located?
The Mission Lake Convalescent Center Inc. is physically situated at the following address: 12110 Holmes Rd, Kansas City, MO, 641451707.
What is Mission Lake Convalescent Center Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mission Lake Convalescent Center Inc. is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770528986 to Mission Lake Convalescent Center Inc.?
The Centers for Medicare & Medicaid Services assigned the 1770528986 to Mission Lake Convalescent Center Inc. on 2006-06-19.
When was the information related to Mission Lake Convalescent Center Inc. most recently updated or refreshed?
The details pertaining to the Mission Lake Convalescent Center Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2013-02-19.
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