White Ridge Health Center
LBN: Deaconess Long Term Care Of Missouri, Inc.
White Ridge Health Center is an health care organization with primary practice located at 1501 Sw 3Rd St , Lees Summit MO 64081-2424. 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.
Deaconess Long Term Care Of Missouri, Inc. can be contacted via phone (816) 525-6300, or through Brooks, Carla via phone (513) 487-3600.
Contact Information
Primary practice address
1501 Sw 3Rd St
Lees Summit MO 64081-2424
Phone: (816) 525-6300
Fax: (816) 554-2137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 030165 | Missouri |
Profile Details
| NPI number | 1053305417 |
|---|---|
| LBN Legal business name | Deaconess Long Term Care Of Missouri, Inc. |
| DBA Doing business as | White Ridge Health Center |
| Authorized official | Brooks, Carla |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Oct 7th, 2008 - about 16 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 | 1053305417 | NPPES |
| Missouri | Other | 90448-011 | BLUE CROSS BLUE SHIELD |
| Missouri | MEDICAID | 102691706 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 90448-011 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 5062108 | BLUE CROSS BLUE SHIELD |
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