BLUE RIDGE NURSING HOME (NPI# 1396959045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396959045 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE NURSING HOME |
| Practice Address |
7505 E 87th St Kansas City MO 64138-3917 |
| Practice Telephone | 8167616838 |
| Mailing Telephone | 8167616838 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANK WILLIAM CARROLL JR. (OWNER) |
| Authorized Official Telephone | 8163655433 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 033937 | MO | Nursing & Custodial Care Facilities |
| Street Address |
7505 E 87TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64138-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178160 | Rachel Katherine Volmert | Social Worker | 8800 Blueridge, Kansas City, MO 64138 | 2018-06-19 |
| 1184167876 | Cerner Health Connections Inc | Pharmacy | 8779 Hillcrest, Building 1024.1, Kansas City, MO 64138 | 2016-11-29 |
| 1255777280 | Se Jin Oh | Dentist | 10803 Missouri 350, Raytown, MO 64138 | 2013-05-16 |
| 1902167067 | Support Professionals II | Community Based Residential Treatment Facility, Mental Illness | 8540 Blue Ridge, Kansas City, MO 64138 | 2012-06-06 |
| 1891003927 | Marriah Smith | Adult Companion | 4705 E 109th Terr, Kansas City, MO 64138 | 2010-09-23 |
| 1437467230 | Bos Transportation LLC | Non-emergency Medical Transport (VAN) | 9405 White Ave, Kansas City, MO 64138 | 2010-09-15 |
| 1598935710 | Alex Heydar Motaref Dmd PC | Dentist | 6406 E 87th Street, Suite 101, Kansas City, MO 64138 | 2008-03-04 |
| 1063602456 | Lorenzo T. Hughes Sr. | Massage Therapist | 8908 E. 89th Street, Kansas City, MO 64138 | 2007-07-31 |
| 1225237993 | Individual Expressions, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3817 Woodson Drive, Raytown, MO 64138 | 2007-07-13 |
| 1285850701 | Alex Heydar Motaref | Dentist | 6406 E 87th St, Suite 101, Kansas City, MO 64138 | 2007-04-17 |
| Find all providers in zip 64138 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353077 | Carroll Manor | Nursing Facility/Intermediate Care Facility | 3400 Campbell St, Kansas City, MO 64109-2354 | 2007-05-10 |
| 1518958859 | Womens Christian Association of Kansas City Missouri | Nursing Facility/Intermediate Care Facility | 8100 Wornall Rd, Kansas City, MO 64114-5806 | 2005-11-04 |
| 1235127630 | Myersnursinghome | Nursing Facility/Intermediate Care Facility | 2315 Walrond Ave, Kansas City, MO 64127-4210 | 2005-10-10 |
| 1689668527 | Care Center of Kansas City | Nursing Facility/Intermediate Care Facility | 5900 Swope Pkwy, Kansas City, MO 64130-4241 | 2005-09-07 |
| 1053604942 | Blessed Homes | Nursing Facility/Intermediate Care Facility | 305 E 63rd St, Kansas City, MO 64113-2225 | 2011-05-25 |
| 1487869772 | Integrated Health Services of Cliff Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64138 |
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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.