Organization Active NPI

Sundance Rehabilitation Corp

  • Skilled Nursing Facility
  • Lee's Summit, MO
National Provider Identifier
1053756460
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1999135156 Issued in MO
Legal business name
SUNDANCE REHABILITATION CORP
Practice address
817 SW Windjammer Dr
Lees Summit, MO 64082-4055
Phone
(816) 506-7766
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Ms. Dianna R. LarmanNPI 1356755383
Title
Lpta
Phone
(816) 506-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1999135156 MO Primary

Addresses

Primary practice location

817 SW Windjammer Dr
Lees Summit, MO 64082-4055

Mailing address

817 SW Windjammer Dr
Lees Summit, MO 64082-4055
Phone (816) 506-7766

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1053756460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SW WINDJAMMER DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824055",
            "telephone_number": "816-506-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SW WINDJAMMER DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824055",
            "telephone_number": "816-506-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "LARMAN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LPTA",
        "authorized_official_telephone_number": "816-506-7766",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "1999135156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.