Blue River Rehabilitation Center

LBN: Blue River Rehabilitation Center, Llc
Blue River Rehabilitation Center is an health care organization with primary practice located at 10425 Chestnut Dr , Kansas City MO 64137-3201. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Blue River Rehabilitation Center, Llc can be contacted via phone (816) 763-4444, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
10425 Chestnut Dr Kansas City MO 64137-3201
Fax: (816) 763-4777
Website:
Authorized official contact:
Name: Berg, Michael T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 042936 Missouri

Profile Details

NPI number 1043336738
LBN Legal business name Blue River Rehabilitation Center, Llc
DBA Doing business as Blue River Rehabilitation Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jan 26th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043336738 NPPES
Missouri MEDICAID 107809600

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