Waterford South Assisted Living

LBN: Waterford South Assisted Living
Waterford South Assisted Living is an health care organization with primary practice located at 11515 Holmes Rd , Kansas City MO 64131-3856. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Waterford South Assisted Living can be contacted via phone (816) 942-4898, or through Egbadon, Alfredo E. via phone (816) 942-4898.

Contact Information

Primary practice address
11515 Holmes Rd Kansas City MO 64131-3856
Phone: (816) 942-4898
Fax: (816) 942-3278
Website:
Map and Directions
Authorized official contact:
Name: Egbadon, Alfredo E.
Phone: (816) 942-4898

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 251E00000X Missouri

Profile Details

NPI number 1386837110
LBN Legal business name Waterford South Assisted Living
DBA Doing business as
Authorized official Egbadon, Alfredo E.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2007
Last updated Aug 24th, 2007 - about 17 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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