Foxwood Springs Living Center

LBN: Ccrc Opco - Foxwood Springs, Llc
Foxwood Springs Living Center is an health care organization with primary practice located at 1500 W Foxwood Dr , Raymore MO 64083-9372. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Ccrc Opco - Foxwood Springs, Llc can be contacted via phone (816) 331-3111, or through Ohlendorf, Mark W via phone (414) 918-5000.

Contact Information

Primary practice address
1500 W Foxwood Dr Raymore MO 64083-9372
Fax:
Website:
Authorized official contact:
Name: Ohlendorf, Mark W

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 032980 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 032979 Missouri

Profile Details

NPI number 1356453609
LBN Legal business name Ccrc Opco - Foxwood Springs, Llc
DBA Doing business as Foxwood Springs Living Center
Authorized official Ohlendorf, Mark W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 11th, 2014 - about 11 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 1356453609 NPPES
Missouri MEDICAID 101486306

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