Cedar Valley Health Care

LBN: Deaconess Long Term Care Of Missouri, Inc.
Cedar Valley Health Care is an health care organization with primary practice located at 6124 Raytown Rd , Raytown MO 64133-4007. 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) 358-8222, or through Brooks, Carla via phone (513) 487-3600.

Contact Information

Primary practice address
6124 Raytown Rd Raytown MO 64133-4007
Fax: (816) 358-9231
Website:
Authorized official contact:
Name: Brooks, Carla

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 029721 Missouri

Profile Details

NPI number 1417940834
LBN Legal business name Deaconess Long Term Care Of Missouri, Inc.
DBA Doing business as Cedar Valley Health Care
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417940834 NPPES
Missouri Other 90360-014 BLUE CROSS BLUE SHIELD
Missouri Other 5544001 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 101481000 BLUE CROSS BLUE SHIELD
Missouri Other 90360-014 BLUE CROSS BLUE SHIELD

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