JOHN KNOX VILLAGE (NPI# 1023005592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023005592 |
| Entity Type | Organization |
| Organization Name | JOHN KNOX VILLAGE |
| Other Organization Name | JOHN KNOX VILLAGE CARE CENTER |
| Practice Address |
600 Nw Pryor Rd Lees Summit MO 64081-1104 |
| Mailing Address |
400 Nw Murray Rd Lees Summit MO 64081-1499 |
| Practice Telephone | 8163472400 |
| Mailing Telephone | 8163472400 |
| Mailing Fax Number | 8165253473 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | MR. RODNEY MCBRIDE (VP - HEALTH & RESIDENT SERVICES) |
| Authorized Official Telephone | 8163472030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 314000000X | Skilled Nursing Facility | 031448 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101488401 | 05 | |
| MO | 801488404 | 05 |
| Other Name | Type Code |
|---|---|
| John Knox Village Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591035 | John Knox Village | Ambulance | 400 Nw Murray Rd, Lees Summit, MO 64081-1498 | 2019-07-31 |
| 1346337516 | John Knox Village | Hospice Care, Community Based | 1001 Nw Chipman Rd, Suite 239, Lees Summit, MO 64081-3912 | 2006-10-06 |
| 1770587040 | John Knox Village | Home Health | 400 Nw Murray Road, Lees Summit, MO 64081-1499 | 2005-06-02 |
| 1609118702 | John Knox Village | Nurse Practitioner | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2013-03-27 |
| 1831492875 | John Knox Village | Hospice Care, Community Based | 110 S Main St, Lansing, KS 66043-1504 | 2010-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JOHN KNOX VILLAGE EAST NURSING HOME | 1201 W 19th St Apt A101, Higginsville, MO 64037-1461 |
| Street Address |
600 NW PRYOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031006 | Shyam K. Akkulugari | Emergency Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2005-08-26 |
| 1376047514 | Heather Lynne Tucker | Licensed Practical Nurse | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2018-03-22 |
| 1609118702 | John Knox Village | Nurse Practitioner | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2013-03-27 |
| 1801101613 | Lance Adkins Vickery | Nurse Practitioner | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2010-08-17 |
| 1073745493 | Summit Geriatrics LLC | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2009-08-18 |
| 1154511277 | Hearts With Hands Eldercare Physicians Pa | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053756460 | Sundance Rehabilitation Corp | Skilled Nursing Facility | 817 Sw Windjammer Dr, Lees Summit, MO 64082-4055 | 2013-04-30 |
| 1891728770 | Jefferson Health Care Inc | Skilled Nursing Facility | 615 Sw Oldham Pkwy, Lees Summit, MO 64081-2602 | 2006-07-07 |
| 1467449405 | Lakewood Care Center of Lee's Summit, L.c. | Skilled Nursing Facility | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2005-10-04 |
| 1053305417 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 1501 Sw 3rd St, Lees Summit, MO 64081-2424 | 2005-08-31 |
| 1164912911 | Srz Op Lees Summit LLC | Skilled Nursing Facility | 1501 Sw 3rd St, Lees Summit, MO 64081 | 2018-05-17 |
| 1245665587 | Lees Summit Health Care LLC | Skilled Nursing Facility | 1501 Sw 3rd St, Lees Summit, MO 64081-2424 | 2013-09-05 |
| 1336460377 | Benchmark Healthcare of Lee's Summit, LLC | Skilled Nursing Facility | 1501 Sw 3rd St, Lees Summit, MO 64081-2424 | 2010-06-14 |
| 1699986018 | Lakewood Care Center | Skilled Nursing Facility | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
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| 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.