PLAZA MANOR CARE AND REHAB LLC (NPI# 1629521786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629521786 |
| Entity Type | Organization |
| Organization Name | PLAZA MANOR CARE AND REHAB LLC |
| Other Organization Name | THE GRAND PAVILION HEALTH AND REHAB |
| Practice Address |
4330 Washington St Kansas City MO 64111-3340 |
| Mailing Address |
1123 Mcdonald Ave Brooklyn NY 11230-3320 |
| Practice Telephone | 8167536800 |
| Mailing Telephone | 8452029844 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MICHAEL GREENFIELD (MANAGER) |
| Authorized Official Telephone | 8452029844 |
| Is Organization Subpart | Y |
| Parent Organization Name | AHUVA HEALTH MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Grand Pavilion Health and Rehab | Doing Business As Name - Organization |
| Street Address |
4330 WASHINGTON ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846100 | Plaza Manor, Inc | Durable Medical Equipment & Medical Supplies | 4330 Washington St, Kansas City, MO 64111-3340 | 2005-07-22 |
| 1366070336 | Brianna Reed | Occupational Therapy Assistant | 4330 Washington St, Kansas City, MO 64111-3340 | 2020-03-27 |
| 1548722283 | Grand Pavilion, LLC | Skilled Nursing Facility | 4330 Washington St, Kansas City, MO 64111-3340 | 2019-04-02 |
| 1952847477 | Dialyze Direct Mo LLC | Clinic/Center | 4330 Washington St, Kansas City, MO 64111-3340 | 2017-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1356839203 | Northland Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 4301 Ne Parvin Rd, Kansas City, MO 64117-3001 | 2018-04-26 |
| 1972042190 | Tiffany Springs Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 9191 N Ambassador Drive, Kansas City, MO 64154 | 2017-02-21 |
| 1053733485 | Kansas City Transitional Care Center, LLC | Skilled Nursing Facility | 3910 Rainbow Blvd., Suite 400, Kansas City, KS 66103-2918 | 2014-01-21 |
| 1528249414 | Bridgewood Health Care Center, L.L.C. | Skilled Nursing Facility | 11515 Troost Avenue, Kansas City, MO 64131-3769 | 2007-11-19 |
| 1912129792 | Hope Care Center, Inc. | Skilled Nursing Facility | 115 E 83rd St, Kansas City, MO 64114-2537 | 2007-05-02 |
| 1891840559 | White Oaks Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 724 Ne 79th Ter, Kansas City, MO 64118-1564 | 2007-01-24 |
| 1790872620 | Medicalodges, Inc. | Skilled Nursing Facility | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2006-10-10 |
| 1871686394 | Garden Valley Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 8575 N Granby Ave, Kansas City, MO 64154 | 2006-10-02 |
| 1558461822 | Medicalodges, Inc. | Skilled Nursing Facility | 6261 Leavenworth Rd, Kansas City, KS 66104-1445 | 2006-09-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.