Organization Active NPI

Blessed Homes

  • Nursing Facility/Intermediate Care Facility
  • Kansas City, MO
National Provider Identifier
1053604942
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
039141 Issued in MO
Legal business name
BLESSED HOMES
Practice address
305 E 63Rd St
Kansas City, MO 64113-2225
Phone
(816) 523-1258
Fax
(816) 756-0443
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Musudeen Angel Harrell
Title
Executive Director
Phone
(816) 523-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 039141 MO Primary

Addresses

Primary practice location

305 E 63Rd St
Kansas City, MO 64113-2225

Mailing address

305 E 63Rd St
Kansas City, MO 64113-2225
Phone (816) 523-1258

Other identifiers 1

IdentifierTypeStateIssuer
039141MedicaidMO

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
26D2056216Blessed Homes305 E 63Rd Street, Kansas City, MO 64113Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1053604942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132225",
            "telephone_number": "816-523-1258",
            "fax_number": "816-756-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 63RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132225",
            "telephone_number": "816-523-1258",
            "fax_number": "816-756-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MUSUDEEN",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-523-1258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "039141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039141",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2011; 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.