KRC 1505 HEALTH CARE SERVICES LLC


Address: 1505 East Ashland Street, Nevada, MO 64772
Phone: 4176673900

KRC 1505 HEALTH CARE SERVICES LLC (NPI# 1477975183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477975183
Entity Type Organization
Organization Name KRC 1505 HEALTH CARE SERVICES LLC
Other Organization Name CLARK CARE CENTER - ONE
Practice Address 1505 East Ashland Street
Nevada
MO 64772
Mailing Address 1505 E Ashland St
Nevada
MO 64772-4025
Practice Telephone 4176673900
Practice Fax Number 4176673923
Mailing Telephone 4176673900
Mailing Fax Number 4176673923
Enumeration Date 2014-01-15
Last Update Date 2014-01-15
Authorized Official Name KAREN CLARK (MANAGING MEMBER)
Authorized Official Telephone 4176673900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 041595 MO Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Clark Care Center - One Doing Business As Name - Organization

Office Location

Street Address 1505 EAST ASHLAND STREET
City NEVADA
State MO
Zip Code 64772

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184116170 Elizabeth Hoang Dentist 14054 Us-54, Nevada, MO 64772 2018-06-05
1376056424 Chelsea Deines Social Worker 19940 S. 1481 Road, Nevada, MO 64772 2017-11-13
1558712422 Ozark Tri County Healthcare Consortium Dentist 204 N Cedar, Nevada, MO 64772 2016-06-22
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1205233129 Julie Ann Parker Dental Hygienist 204 North Cedar, Nevada, MO 64772 2014-11-20
1023432101 Ashley Mckinney Speech-Language Pathologist 811 W Hickory, Nevada, MO 64772 2014-02-11
1649520727 Kathy J Hallam Registered Nurse 320 N Mac Boulevard, Nevada, MO 64772 2012-09-14
1396090916 Emily Lane Speech-Language Pathologist 16927 S 1413 Rd, Nevada, MO 64772 2012-07-19
1427385517 Nevada City Hospital Clinic/Center 345 S Barrett Ln., Nevada, MO 64772 2009-11-10
1447446109 Mary F. Herstein Social Worker 406 North Perkins St, Mary F. Herstein, Nevada, MO 64772 2007-09-17
Find all providers in zip 64772

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932594306 Snh Al Aimo Tenant II, Inc Assisted Living Facility 640 E Highland Ave, Nevada, MO 64772-1091 2015-04-02
1124272349 Silver Oak Senior Living Management, Lc Assisted Living Facility 1501 E Ashland St, Nevada, MO 64772-4025 2008-11-14
1174717383 Clark Health Care, Inc. Assisted Living Facility 1495 E Ashland St, Nevada, MO 64772-4016 2007-08-30
1720105786 Silver Oak Senior Living Management, Lc Assisted Living Facility 1505 E Ashland St, Nevada, MO 64772-4025 2007-03-23
1730611583 Nevada Health Care Services, Inc. Assisted Living Facility 1495 E Ashland St, Nevada, MO 64772-4016 2017-03-31
1316369192 Krc 1495 Health Care Services LLC Assisted Living Facility 1495 E Ashland St, Nevada, MO 64772-4016 2014-01-13
1861760688 Abcm Corporation Assisted Living Facility 100 6th St, Nevada, IA 50201-2516 2011-12-07
1346531415 Bgc Health Care Services, Inc. Assisted Living Facility 1495 E Ashland St, Nevada, MO 64772-4016 2011-04-25
1306151592 Maple Management Lc Assisted Living Facility 1501 E Ashland St, Nevada, MO 64772-4025 2010-08-11
1922319532 Maple Management Lc Assisted Living Facility 1505 E Ashland St, Nevada, MO 64772-4025 2010-06-29
Find all providers in NEVADA

Competitor

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City NEVADA
Zip Code 64772

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Dataset Information

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.

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