Organization Active NPI

King Long Term Care Facility

  • Assisted Living Facility
  • Kansas City, MO
National Provider Identifier
1013130194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031840 Issued in MO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0894115Dumas Care2836 Benton Blvd, Kansas City, MO 64128Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.