Deaconess Long Term Care Of Missouri, Inc., NPI 1417940834
Skilled Nursing Facility in Raytown, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417940834
NPI Entity Type Organization
Provider Name Deaconess Long Term Care Of Missouri, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6124 Raytown Rd, Raytown, MO, US
Provider Mailing Address 440 Lafayette Ave, Suite 400, Cincinnati, OH, US, 452201022
Is Sole Proprietor? No
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Organization Official

Official Name Carla Brooks
Official Position CFO
Phone 513-487-3600

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 029721
License State MO
Description (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Cedar Valley Health Care
Doing Business As

Business Address

Deaconess Long Term Care Of Missouri, Inc.
6124 Raytown Rd

Raytown, MO, US

Phone: 816-358-8222
Fax: 816-358-9231

Mailing Address

Deaconess Long Term Care Of Missouri, Inc.
440 Lafayette Ave
Suite 400
Cincinnati, OH, US
ZIP 452201022
Phone: 513-487-3600
Fax: 513-487-3653

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
90360-014 MO BLUE CROSS BLUE SHIELD 01
5544001 MO AETNA 01
101481000 MO MEDICAID 05
90360-014 MO BLUE CROSS 01

Other Providers in MO, US

NPI Name Taxonomy Address

1679982664

RN, NNP-BC Rachel Renelle Neier

Individual

Neonatal Nurse Practitioner

100 Mercy Way

Joplin, MO

1497477400

APRN Sylvia Lynn Arney

Individual

Pediatric Nurse Practitioner

2401 Gillham Rd

Kansas City, MO

1851016224

Families First Transportation, Llc

Organization

Home Health Agency

10850 W Florissant Ave

Saint Louis, MO

1003351404

Erin Alfonso

Individual

Assistant Behavior Analyst

1209 E Walnut St

Columbia, MO

1184349540

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

1350 S Jefferson Ave Ste C

Lebanon, MO

1730804196

Integrity Home Care, Llc

Organization

Community Based Hospice Care Agency

4830 E 32nd St Ste 1

Joplin, MO

1801805791

M.D. Eric Jaques Carbonell

Individual

Psychiatry Physician

110 N Mill St

Festus, MO

1750037735

LCSW Macey Laplant

Individual

Social Worker

1403 E Marshall St

Charleston, MO

1730707068

NNP-BC Alyssa Patterson

Individual

Neonatal Nurse Practitioner

1 Childrens Pl

Saint Louis, MO

1538884986

PLPC Christopher M Mattix

Individual

Case Manager/Care Coordinator

17844 E 23rd St S

Independence, MO

1588389928

DR. PHD Emma Welch

Individual

Psychologist

26515 State Highway 39

Shell Knob, MO

1609591049

John White

Individual

Attendant Care Provider

1411 E Gano Ave

Saint Louis, MO

1487718854

Catholic Comprehensive Services For Children, Child Center-marygrove

Organization

Emotionally Disturbed Childrens' Residential Treatment Facility

2705 Mullanphy Ln

Florissant, MO

1538884978

NP Sarah Enyard

Individual

Family Nurse Practitioner

1600 E Broadway

Columbia, MO

1174248504

Elizabeth Kathleen Smith

Individual

Professional Counselor

829 W Atlantic St

Springfield, MO

1073514600

Odyssey Healthcare Of Kansas City Llc

Organization

Community Based Hospice Care Agency

20101 E Jackson Dr

Independence, MO

1023748134

PT, DPT Klaire Hart Phillips

Individual

Physical Therapist

10801 E State Route 350

Raytown, MO

1316662745

Kristina Daugherty

Individual

Case Manager/Care Coordinator

21 Municipal Dr

Arnold, MO

1245619154

DR. MD Douglas James Cassidy

Individual

Surgery Physician

1 Barnes Jewish Hospital Plz

Div Surg Mis

Saint Louis, MO

1427773852

FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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