KING LONG TERM CARE FACILITY (NPI# 1013130194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013130194 |
| Entity Type | Organization |
| Organization Name | KING LONG TERM CARE FACILITY |
| Other Organization Name | CARRIE DUMAS LONG TERM CARE FACILITY |
| Practice Address |
2836 Benton Blvd Kansas City MO 64128-1140 |
| Practice Telephone | 8169245017 |
| Mailing Telephone | 8169245017 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CARRIE KING (CEO) |
| Authorized Official Telephone | 8169245017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 031840 | MO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Carrie Dumas Long Term Care Facility | Doing Business As Name - Organization |
| Street Address |
2836 BENTON BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64128-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| 1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
| 1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
| 1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
| 1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
| 1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| Find all providers in zip 64128 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1275060915 | Mccrite Plaza At Briarcliff, LLC | Assisted Living Facility | 1201 Tullison Rd, Kansas City, MO 64116-2639 | 2017-05-12 |
| 1801253950 | Ala Operations, LLC | Assisted Living Facility | 2300 N 113th Pl, Kansas City, KS 66109-3520 | 2016-01-20 |
| 1740576024 | Americare At Summitview Terrace Asisted Living LLC | Assisted Living Facility | 12101 E Bannister Rd, Kansas City, MO 64138-4913 | 2011-06-24 |
| 1639494446 | The Queen's Specialties Care Center | Assisted Living Facility | 11301 Colorado Ave, 125, Kansas City, MO 64137-2892 | 2010-04-05 |
| 1922244748 | Villa Ventura Residential Care Facility | Assisted Living Facility | 12100 Wornall Rd, Kansas City, MO 64145-1764 | 2008-12-29 |
| 1386837110 | Waterford South Assisted Living | Assisted Living Facility | 11515 Holmes Rd, Kansas City, MO 64131-3856 | 2007-08-24 |
| 1174713952 | Kansas City Living, LLC | Assisted Living Facility | 1900 N 70th St, Kansas City, KS 66102-1094 | 2007-07-27 |
| 1730302787 | Masonic Home of Missouri | Assisted Living Facility | 1201 E. Bannister Rd, Kansas City, MO 64138 | 2007-04-10 |
| 1417072240 | Marian Hall | Assisted Living Facility | 1920 Tauromee Ave, Kansas City, KS 66102-4124 | 2007-03-20 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64128 |
Please comment or provide details below to improve the information on KING LONG TERM CARE FACILITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.