Active NPI
King Long Term Care Facility
- Assisted Living Facility
- Kansas City, MO
National Provider Identifier
1013130194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 031840
- Legal business name
- KING LONG TERM CARE FACILITY
- Doing business as
- Carrie Dumas Long Term Care Facility
- Practice address
- 2836 Benton Blvd
Kansas City, MO 64128-1140 - Phone
- (816) 924-5017
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carrie King
- Title
- Ceo
- Phone
- (816) 924-5017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 031840 | MO | Primary |
Addresses
Primary practice location
2836 Benton Blvd
Kansas City, MO 64128-1140
Mailing address
2836 Benton Blvd
Kansas City, MO 64128-1140
Phone (816) 924-5017
Other names 1
- Carrie Dumas Long Term Care Facility
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0894115 | Dumas Care | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
2836 Benton Blvd
Kansas City, MO 64128
Phone (816) 924-5017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013130194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2836 BENTON BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641281140",
"telephone_number": "816-924-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2836 BENTON BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641281140",
"telephone_number": "816-924-5017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING LONG TERM CARE FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-924-5017",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MO",
"license": "031840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carrie Dumas Long Term Care Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.