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DEACONESS LONG TERM CARE OF MISSOURI INC. NPI 1558355925


NPI Information

NPI: 1558355925
Provider Name: DEACONESS LONG TERM CARE OF MISSOURI, INC.

Doing Business As: ABC HEALTH CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
307 E SOUTH ST
HARRISONVILLE, MO
ZIP 64701
Phone: (816) 380-7399
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DEACONESS LONG TERM CARE OF MISSOURI, INC. is a skilled nursing facility in Harrisonville, MO. The provider is (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. DEACONESS LONG TERM CARE OF MISSOURI, INC. NPI is 1558355925. The provider is registered as an organization entity type.
The provider Is Doing Business As Abc Health Center.

The provider's business location address is:

307 E SOUTH ST
HARRISONVILLE, MO
ZIP 64701-241
Phone: (816) 380-7399
Fax: (816) 380-6352

The provider's authorized official is Carla Brooks .
The authorized official title is Cfo and has the following contact phone number (513) 487-3600.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 10/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility029252MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14652284OTHERMISSOURIAETNA
2101472900MEDICAIDMISSOURI
390447-013OTHERMISSOURIBLUE CROSS BLUE SHIELD
4265513MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE #
590447-013OTHERMISSOURIBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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