West Jordan Care Center in Saint Joseph - Intermediate Care Facility, Intellectual Disabilities
West Jordan Care Center - NPI 1871570374
West Jordan Care Center is a Intermediate Care Facility, Intellectual Disabilities in Saint Joseph, Missouri. West Jordan Care Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for West Jordan Care Center is 1871570374. The last update date is 2020-08-22.
West Jordan Care Center's current location address is 5007 S Mission Dr, Saint Joseph, Missouri. You can contact this provider via phone number 8162329573 and fax number 8162329596. The mailing address for West Jordan Care Center is 5007 S Mission Dr, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Jordan Care Center |
|---|---|
| Address | 5007 S Mission Dr, Saint Joseph, Missouri |
| Phone Number | 8162329573 |
| Fax Number | 8162329596 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelso M. Gary |
| Telephone Number | 8013891523 |
NPI Number Detail
| NPI Number | 1871570374 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5007 S Mission Dr |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645059404 |
| Phone Number | 8162329573 |
| Fax Number | 8162329596 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2004-NCF-470 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 742561471031 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to West Jordan Care Center by the Centers for Medicare & Medicaid Services?
The West Jordan Care Center has been issued the NPI (National Provider Identifier) 1871570374 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where West Jordan Care Center is physically located?
The West Jordan Care Center is situated at the following address: 5007 S Mission Dr, Saint Joseph, MO 645059404.
What is West Jordan Care Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for West Jordan Care Center is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date was the 1871570374 assigned to West Jordan Care Center?
The West Jordan Care Center was issued its 1871570374 on 2005-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the West Jordan Care Center's details last updated?
The information pertaining to the West Jordan Care Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA