CCRC OF CEDAR RAPIDS, LLC (NPI# 1972041952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972041952 |
| Entity Type | Organization |
| Organization Name | CCRC OF CEDAR RAPIDS, LLC |
| Other Organization Name | TERRACE GLEN VILLAGE |
| Practice Address |
11827 W 112th St Suite 103 Overland Park KS 66210 |
| Mailing Address |
3400 Alburnett Road Marion IA 52302 |
| Practice Telephone | 9138904780 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | GILBERT R WOOD (MANAGER OF THE LLC) |
| Authorized Official Telephone | 9135995705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Terrace Glen Village | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CCRC OF CEDAR RAPIDS, LLC | 11827 W 112th St Ste 103, Overland Park, KS 66210 |
| Street Address |
11827 W 112TH ST SUITE 103 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| 1093128936 | Robin L Kluttz | Social Worker | 9300 W 110 Th St, Ste 590, Overland Park, KS 66210 | 2014-06-09 |
| Find all providers in zip 66210 | ||||
| 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 |
|---|---|---|---|---|
| 1063946143 | Ccrc of Overland Park, LLC | Skilled Nursing Facility | 12500 W 137th St, Overland Park, KS 66221-4129 | 2017-04-17 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1316034507 | Thi of Kansas At Indian Meadows, LLC | Skilled Nursing Facility | 6505 W 103rd St, Overland Park, KS 66212-1728 | 2006-10-07 |
| 1407943699 | Thi of Kansas At Indian Creek, LLC | Skilled Nursing Facility | 6515 W 103rd St, Overland Park, KS 66212-1728 | 2006-10-07 |
| 1376576371 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 7541 Switzer St, Overland Park, KS 66214-1170 | 2006-07-10 |
| 1346288313 | Overland Park Nursing & Rehab Center Inc | Skilled Nursing Facility | 6501 W 75th St, Overland Park, KS 66204-3074 | 2006-06-03 |
| 1285629048 | Delmar Gardens of Overland Park Operating, LLC | Skilled Nursing Facility | 12100 W 109th St, Overland Park, KS 66210-1200 | 2005-09-16 |
| 1972595080 | Carondelet Long Term Care Facilities Inc | Skilled Nursing Facility | 11901 Rosewood Dr, Overland Park, KS 66209-3533 | 2005-08-16 |
| 1306400841 | Kpc Promise Skilled Nursing Facility of Overland Park LLC | Skilled Nursing Facility | 6505 W 103rd St, Overland Park, KS 66212-1728 | 2019-04-30 |
| 1104399039 | Overland Park Ks Opco LLC | Skilled Nursing Facility | 6515 W 103rd St, Overland Park, KS 66212-1728 | 2019-01-03 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.