PRIME HEALTHCARE SERVICES KANSAS CITY, LLC (NPI# 1558767624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558767624 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES KANSAS CITY, LLC |
| Other Organization Name | ST. JOSEPH MEDICAL CENTER |
| Practice Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
| Practice Telephone | 8169424400 |
| Mailing Telephone | 8169424400 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | PREM REDDY (CHAIRMAN/PRESIDENT) |
| Authorized Official Telephone | 9092354400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIME HEALTHCARE SERVICES KANSAS CITY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 287-37 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 10156305 | 05 | |
| KS | 100099610A | 05 | |
| TRICARE | 440546292 | 01 |
| Other Name | Type Code |
|---|---|
| St. Joseph Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463080 | Prime Healthcare Services Kansas City, LLC | General Acute Care Hospital | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-10-27 |
| Street Address |
1000 CARONDELET DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363838 | Carondelet Emergency Physicians Inc | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2005-06-01 |
| 1871117465 | Kensey Demoss | Speech-Language Pathologist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-05-30 |
| 1447882345 | Sean Hudson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-02-08 |
| 1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
| 1992344691 | Mary Davidson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-27 |
| 1053959825 | Fadia Khuffash | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-12 |
| 1144868969 | Amanda K Howell | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-11 |
| 1174160485 | Melissa Ann Dusenberry | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-05 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1336634294 | Amanda K Goldsmith | Nurse Practitioner | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582724 | University of Kansas Hospital Authority | Rehabilitation Unit | 3910 Rainbow Blvd, Kansas City, KS 66103-2918 | 2006-01-11 |
| 1144417049 | David G. Smithson, Md PC | Rehabilitation Unit | 1010 Carondelet Dr, Suite 329, Kansas City, MO 64114-4859 | 2007-09-25 |
| 1346282142 | Midwest Division - Rmc, LLC | Rehabilitation Unit | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2006-06-13 |
| 1265473953 | Saint Luke's North Hospital | Rehabilitation Unit | 5830 Nw Barry Rd, Kansas City, MO 64154-2778 | 2006-06-10 |
| 1992742969 | Midwest Division - Blmc, LLC | Rehabilitation Unit | 6601 Rockhill Rd, Kansas City, MO 64131-1118 | 2006-05-31 |
| 1457333593 | St Lukes Hospital of Kansas City | Rehabilitation Unit | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457864944 | Mcclay Health and Rehab LLC | Rehabilitation Unit | 3801 Mcclay Rd, Saint Peters, MO 63376-7327 | 2017-11-07 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1790239895 | Karin Derigne | Rehabilitation Unit | 1101 Highway K, O Fallon, MO 63366-8431 | 2016-08-08 |
| 1801275466 | Harley Grant Beck | Rehabilitation Unit | 3950 Newman Rd, Joplin, MO 64801-1512 | 2015-05-28 |
| 1134506611 | Department of Veterans Affairs | Rehabilitation Unit | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2015-05-04 |
| 1033596234 | Hannibal Regional Healthcare System Inc | Rehabilitation Unit | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-04-27 |
| 1962809947 | Prime Healthcare Services Blue Springs, LLC | Rehabilitation Unit | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2014-11-19 |
| 1063700862 | Springfield Neurological and Spine Institute | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2011-07-13 |
| 1508192543 | Mercy Hospital Joplin | Rehabilitation Unit | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2009-10-27 |
| 1659522829 | Supplemental | Rehabilitation Unit | 20 Ne Saint Lukes Blvd, Suite 100, Lees Summit, MO 64086-6001 | 2008-10-07 |
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| City | KANSAS CITY |
| Zip Code | 64114 |
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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.