Hidden Lake Snf Opco, Llc

LBN: Hidden Lake Snf Opco, Llc
Hidden Lake Snf Opco, Llc is an health care organization with primary practice located at 11400 Hidden Lake Dr , Raytown MO 64133-7409. 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. Hidden Lake Snf Opco, Llc can be contacted via phone (816) 737-1010, or through Hundley, Mary Beth via phone (863) 259-9800.

Contact Information

Primary practice address
11400 Hidden Lake Dr Raytown MO 64133-7409
Phone: (816) 737-1010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hundley, Mary Beth
Phone: (863) 259-9800

Health care specialties

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

Profile Details

NPI number 1245857135
LBN Legal business name Hidden Lake Snf Opco, Llc
DBA Doing business as
Authorized official Hundley, Mary Beth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2020
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245857135 NPPES
Missouri MEDICAID 103256202

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