Active NPI
Blessed Homes
- Nursing Facility/Intermediate Care Facility
- Kansas City, MO
National Provider Identifier
1053604942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 039141
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039141 | Medicaid | MO |
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 |
|---|---|---|---|
| 26D2056216 | Blessed Homes | Certificate of waiver | Mar 24, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.