WATERFORD SOUTH ASSISTED LIVING (NPI# 1386837110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386837110 |
| Entity Type | Organization |
| Organization Name | WATERFORD SOUTH ASSISTED LIVING |
| Practice Address |
11515 Holmes Rd Kansas City MO 64131-3856 |
| Practice Telephone | 8169424898 |
| Practice Fax Number | 8169423278 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | MR. ALFREDO E. EGBADON (ADMINISTRATOR) |
| Authorized Official Telephone | 8169424898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 251E00000X | MO | Nursing & Custodial Care Facilities |
| Street Address |
11515 HOLMES RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64131-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1093330599 | Tarek Haidar | Student in an Organized Health Care Education/Training Program | Research Medical Center / Goppert Family Medicine, 6675 Holmes Road, Ste 450, Kansas City, MO 64131 | 2020-06-10 |
| 1053870139 | Katherine Field | Student in an Organized Health Care Education/Training Program | Goppert-trinity Family Care, 6675 Holmes Rd Suite 360, Kansas City, MO 64131 | 2019-03-18 |
| 1962998328 | Mandy Winkert | Registered Nurse | 6301 Rockhill Rd Ste 302, Kansas City, MO 64131 | 2018-07-09 |
| 1386149623 | Sarah Frederike Otter | Student in an Organized Health Care Education/Training Program | 6675 Holmes #360, Kansas City, MO 64131 | 2018-03-28 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1104346691 | Christy Ann Oxley | Occupational Therapist | 400 Bannister Rd, Suite A, Kansas Citty, MO 64131 | 2017-06-26 |
| 1407392095 | Kara Lea Thomas | Chiropractor | 1152 E 78th St, Kansas City, MO 64131 | 2017-01-06 |
| 1013373489 | Margaret's Place LLC | Clinic/Center | 7217 Troost Ave, Kansas City, MO 64131 | 2016-01-14 |
| Find all providers in zip 64131 | ||||
| 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 |
| 1174713952 | Kansas City Living, LLC | Assisted Living Facility | 1900 N 70th St, Kansas City, KS 66102-1094 | 2007-07-27 |
| 1013130194 | King Long Term Care Facility | Assisted Living Facility | 2836 Benton Blvd, Kansas City, MO 64128-1140 | 2007-04-10 |
| 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 | 64131 |
Please comment or provide details below to improve the information on WATERFORD SOUTH ASSISTED LIVING.
| 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.