MISSOURI CARIS HEALTHCARE LLC (NPI# 1275925182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275925182 |
Entity Type | Organization |
Organization Name | MISSOURI CARIS HEALTHCARE LLC |
Other Organization Name | CARIS HEALTHCARE, KANSAS CITY |
Practice Address |
3980 South Jackson Drive Independence MO 64057 |
Practice Telephone | 8167951229 |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-11-03 |
Authorized Official Name | NORMAN MCRAE (PRESIDENT) |
Authorized Official Telephone | 8656944762 |
Is Organization Subpart | Y |
Parent Organization Name | CARIS HEALTHCARE LP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Other Name | Type Code |
---|---|
Caris Healthcare, Kansas City | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437574183 | Missouri Caris Healthcare LLC | Hospice Care, Community Based | 13995 Clayton Road, Town & Country, MO 63017 | 2014-03-04 |
Street Address |
3980 SOUTH JACKSON DRIVE |
City | INDEPENDENCE |
State | MO |
Zip Code | 64057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912327610 | Marcia Clapp | Physical Therapy Assistant | 3980 South Jackson Drive, Independence, MO 64057 | 2014-04-21 |
1407498181 | Brooke Renee Jehle | Speech-Language Pathologist | 3980 South Jackson Drive, Independence, MO 64057 | 2019-10-14 |
1861983157 | Olga Kulbatskaya | Nurse Practitioner | 3980 South Jackson Drive, Independence, MO 64057 | 2018-05-23 |
1801347448 | Tiffany Kimbrough | Community Health Worker | 3980 South Jackson Drive, Independence, MO 64057 | 2016-10-19 |
1770034571 | Molly Jane Murray | Speech-Language Pathologist | 3980 South Jackson Drive, Independence, MO 64057-2205 | 2016-10-18 |
1538579602 | Anna Patterson | Physical Therapist | 3980 South Jackson Drive, Independence, MO 64057-2205 | 2014-04-29 |
1699195198 | Krysten Michelle Ballard | Physical Therapy Assistant | 3980 South Jackson Drive, Independence, MO 64057 | 2014-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
Find all providers in zip 64057 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
1861909798 | Missouri Hospice Care, LLC | Hospice Care, Community Based | 3675 S Noland Rd Ste 225, Independence, MO 64055-3369 | 2017-12-31 |
1366820318 | Phoenix Home Care Inc | Hospice Care, Community Based | 14220 E 42nd St S, Independence, MO 64055-4726 | 2015-05-11 |
1669863486 | Shalom House Inc #2 | Hospice Care, Community Based | 13905 E 39th St S Ste 104, Independence, MO 64055-3378 | 2015-02-16 |
1497857551 | Good Shepherd Hospice of Mid-america Inc | Hospice Care, Community Based | 123 W Kansas Ave Ste 200, Independence, MO 64050-3713 | 2006-09-01 |
1003840984 | In Home Health, LLC | Hospice Care, Community Based | 4731 S Cochise Dr Ste 120, Independence, MO 64055-6975 | 2006-07-10 |
1356374581 | The Groves | Hospice Care, Community Based | 1515 W White Oak St, Independence, MO 64050-2557 | 2006-07-09 |
1427093988 | Crossroads Hospice of Kansas City | Hospice Care, Community Based | 14310 E 42nd St S Unit 600, Independence, MO 64055-7308 | 2006-06-18 |
1013968635 | Heartland Hospice Services LLC | Hospice Care, Community Based | 4807 Rockside Rd, Suite 110, Independence, OH 44131-2140 | 2006-05-16 |
1073514600 | Odyssey Healthcare of Kansas City LLC | Hospice Care, Community Based | 4911 S Arrowhead Dr, Suite 310, Independence, MO 64055-7032 | 2005-08-04 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64057 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.