MASONIC HOME OF MISSOURI (NPI# 1730302787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730302787 |
| Entity Type | Organization |
| Organization Name | MASONIC HOME OF MISSOURI |
| Practice Address |
1201 E. Bannister Rd Kansas City MO 64138 |
| Mailing Address |
6033 Masonic Dr Suite A Columbia MO 65202-6568 |
| Practice Telephone | 8167636667 |
| Mailing Telephone | 5738144663 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KARIN A BELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5738144663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 031984 | MO | Nursing & Custodial Care Facilities |
| Street Address |
1201 E. BANNISTER RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64138 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1275060915 | Mccrite Plaza At Briarcliff, LLC | Assisted Living Facility | 1201 Tullison Rd, Kansas City, MO 64116-2639 | 2017-05-12 |
| 1801253950 | Ala Operations, LLC | Assisted Living Facility | 2300 N 113th Pl, Kansas City, KS 66109-3520 | 2016-01-20 |
| 1740576024 | Americare At Summitview Terrace Asisted Living LLC | Assisted Living Facility | 12101 E Bannister Rd, Kansas City, MO 64138-4913 | 2011-06-24 |
| 1639494446 | The Queen's Specialties Care Center | Assisted Living Facility | 11301 Colorado Ave, 125, Kansas City, MO 64137-2892 | 2010-04-05 |
| 1922244748 | Villa Ventura Residential Care Facility | Assisted Living Facility | 12100 Wornall Rd, Kansas City, MO 64145-1764 | 2008-12-29 |
| 1386837110 | Waterford South Assisted Living | Assisted Living Facility | 11515 Holmes Rd, Kansas City, MO 64131-3856 | 2007-08-24 |
| 1174713952 | Kansas City Living, LLC | Assisted Living Facility | 1900 N 70th St, Kansas City, KS 66102-1094 | 2007-07-27 |
| 1013130194 | King Long Term Care Facility | Assisted Living Facility | 2836 Benton Blvd, Kansas City, MO 64128-1140 | 2007-04-10 |
| 1417072240 | Marian Hall | Assisted Living Facility | 1920 Tauromee Ave, Kansas City, KS 66102-4124 | 2007-03-20 |
| Find all providers in KANSAS CITY | ||||
| 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.