Autumn Terrace Health & Rehabilitation

LBN: Raytown Health Care Llc
Autumn Terrace Health & Rehabilitation 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. Raytown Health Care Llc can be contacted via phone (816) 358-8222, or through Mcgavock, Kam via phone (410) 773-1000.

Contact Information

Primary practice address
6124 Raytown Rd Raytown MO 64133-4007
Phone: (816) 358-8222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcgavock, Kam
Phone: (410) 773-1000

Health care specialties

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

Profile Details

NPI number 1639504970
LBN Legal business name Raytown Health Care Llc
DBA Doing business as Autumn Terrace Health & Rehabilitation
Authorized official Mcgavock, Kam
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2013
Last updated May 16th, 2014 - about 10 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 1639504970 NPPES
Missouri MEDICAID 101481000

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