Crc The Manor
LBN: Clearwater Retirement Community Inc.
Crc The Manor is an health care organization with primary practice located at 620 E Wood St , Clearwater KS 67026-9757. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Clearwater Retirement Community Inc. can be contacted via phone (620) 584-2271, or through Monk, Izena via phone (620) 584-2271.
Contact Information
Primary practice address
620 E Wood St
Clearwater KS 67026-9757
Phone: (620) 584-2271
Fax: (620) 584-4583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | NO87053 | Kansas |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | BO87124 | Kansas |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | BO87123 | Kansas |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NO87016 | Kansas |
Profile Details
| NPI number | 1407819246 |
|---|---|
| LBN Legal business name | Clearwater Retirement Community Inc. |
| DBA Doing business as | Crc The Manor |
| Authorized official | Monk, Izena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407819246 | NPPES |
| Kansas | MEDICAID | 10010890021 |
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