Deaconess Long Term Care Of Missouri, Inc in Raytown - Skilled Nursing Facility

Deaconess Long Term Care Of Missouri, Inc - NPI 1164416509

Deaconess Long Term Care Of Missouri, Inc is a Skilled Nursing Facility in Raytown, Missouri. Deaconess Long Term Care Of Missouri, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Deaconess Long Term Care Of Missouri, Inc is 1164416509. The last update date is 2008-10-07.

Deaconess Long Term Care Of Missouri, Inc's current location address is 11900 Jessica Ln, Raytown, Missouri. You can contact this provider via phone number 8163587858 and fax number 8163531514. The mailing address for Deaconess Long Term Care Of Missouri, Inc is 11900 Jessica Ln, Raytown, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Deaconess Long Term Care Of Missouri, Inc
Address 11900 Jessica Ln, Raytown, Missouri
Phone Number 8163587858
Fax Number 8163531514
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Brooks Carla
Telephone Number 5134873600

NPI Number Detail

NPI Number 1164416509
Provider Enumeration Date 2005-08-31
Last Updated Date 2008-10-07

Provider Mailing Address Detail

Address 11900 Jessica Ln
City Raytown
State Missouri (MO)
Post Code 641382649
Phone Number 8163587858
Fax Number 8163531514

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 29538
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
90399-010 MO BLUE SHIELD
262783806 MO PCARE PROVIDER #
5397477 MO AETNA
90399-010 MO BLUE CROSS
102783800 MO --

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FAQs about Deaconess Long Term Care Of Missouri, Inc

What is the unique 10-digit identification code assigned to Deaconess Long Term Care Of Missouri, Inc by the Centers for Medicare & Medicaid Services?

The Deaconess Long Term Care Of Missouri, Inc has been issued the NPI (National Provider Identifier) 1164416509, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Deaconess Long Term Care Of Missouri, Inc's facilities are situated?

The facilities of Deaconess Long Term Care Of Missouri, Inc are physically located at the following address: 11900 Jessica Ln, Raytown, MO, 641382649.

What is Deaconess Long Term Care Of Missouri, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Deaconess Long Term Care Of Missouri, Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

On what date did the Deaconess Long Term Care Of Missouri, Inc receive the assignment of its 1164416509 from the Centers for Medicare & Medicaid Services?

The Deaconess Long Term Care Of Missouri, Inc was issued its 1164416509 by the Centers for Medicare & Medicaid Services on 2005-08-31.

As of what date was the information regarding Deaconess Long Term Care Of Missouri, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Deaconess Long Term Care Of Missouri, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-07.

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