St. Mary'S Manor

LBN: Carondelet Long Term Care Facilities, Inc.
St. Mary'S Manor is an health care organization with primary practice located at 111 Nw Mock Ave , Blue Springs MO 64014-2503. 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. Carondelet Long Term Care Facilities, Inc. can be contacted via phone (816) 228-5655, or through Columbatto, Anthony via phone (816) 228-5655.

Contact Information

Primary practice address
111 Nw Mock Ave Blue Springs MO 64014-2503
Phone: (816) 228-5655
Fax: (816) 228-8480
Website:
Map and Directions
Authorized official contact:
Name: Columbatto, Anthony
Phone: (816) 228-5655

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031289 Missouri

Profile Details

NPI number 1710979836
LBN Legal business name Carondelet Long Term Care Facilities, Inc.
DBA Doing business as St. Mary'S Manor
Authorized official Columbatto, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 27th, 2014 - about 10 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 1710979836 NPPES
Missouri MEDICAID 102390309

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