CARROLL MANOR (NPI# 1336353077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336353077 |
| Entity Type | Organization |
| Organization Name | CARROLL MANOR |
| Practice Address |
3400 Campbell St Kansas City MO 64109-2354 |
| Practice Telephone | 8165315746 |
| Practice Fax Number | 8165315398 |
| Mailing Telephone | 8165315746 |
| Mailing Fax Number | 8165315398 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANK WILLIAM CARROLL JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 8163655433 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 033243 | MO | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030629 | Carroll Manor | Custodial Care Facility | 38161 90th St E, Littlerock, CA 93543-4012 | 2014-07-04 |
| 1598736753 | Carroll Manor | Skilled Nursing Facility | 725 Buchanan St Ne, Washington, DC 20017-2340 | 2006-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARROLL MANOR FIRE COMPANY INC, THE | 2795 Adams St, Adamstown, MD 21710-9629 |
| Street Address |
3400 CAMPBELL ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64109-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255382 | Lindsey June Orlowski | Counselor | 3216 Gillham Rd, Suite 210, Kansas City, MO 64109 | 2020-01-28 |
| 1689227324 | Matthew Elbridge Langston | Counselor | 3211 Woodland Ave., Kansas City, MO 64109 | 2019-07-22 |
| 1508215104 | Careplus Home Care, LLC | Home Health | 2418 E Linwood Blvd, 302d, Kansas City, MO 64109 | 2016-06-06 |
| 1316318058 | Rosalind Carter | Registered Nurse | 3201 Woodland Ave, Kansas City, MO 64109 | 2015-10-07 |
| 1083083018 | Shantai Mccray | Counselor | 2420 E. Linwood Blvd, Suite 300 C, Kansas City, MO 64109 | 2015-09-21 |
| 1982028296 | Patricia Marie Hoard | Community Health Worker | 3647 Troost Ave, Kansas City, MO 64109 | 2014-02-06 |
| 1184045171 | Uzazi Village | Registered Nurse | 3647 Troost, Kansas City, MO 64109 | 2013-12-18 |
| 1285984583 | Bare Essentials Home Care Inc. | In Home Supportive Care | 3200 Wayne Ave., Suite 103, Kansas City, MO 64109 | 2012-09-13 |
| 1912139296 | Lisa Denise Powell | Homemaker | 3723 Park Ave, 3723 Park Ave, Kasas City, MO 64109 | 2009-08-20 |
| 1346716602 | Rita Nelson | Licensed Practical Nurse | 3211 Woodland Ave, Kansas City, MO 64109 | 2018-10-15 |
| Find all providers in zip 64109 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396959045 | Blue Ridge Nursing Home | Nursing Facility/Intermediate Care Facility | 7505 E 87th St, Kansas City, MO 64138-3917 | 2007-05-10 |
| 1518958859 | Womens Christian Association of Kansas City Missouri | Nursing Facility/Intermediate Care Facility | 8100 Wornall Rd, Kansas City, MO 64114-5806 | 2005-11-04 |
| 1235127630 | Myersnursinghome | Nursing Facility/Intermediate Care Facility | 2315 Walrond Ave, Kansas City, MO 64127-4210 | 2005-10-10 |
| 1689668527 | Care Center of Kansas City | Nursing Facility/Intermediate Care Facility | 5900 Swope Pkwy, Kansas City, MO 64130-4241 | 2005-09-07 |
| 1053604942 | Blessed Homes | Nursing Facility/Intermediate Care Facility | 305 E 63rd St, Kansas City, MO 64113-2225 | 2011-05-25 |
| 1487869772 | Integrated Health Services of Cliff Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64109 |
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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.