Shawnee Mission Health Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N046026 Issued in KS

Legal business name

SHAWNEE MISSION HEALTH CARE, INC

Doing business as

Overland Park Nursing and Rehab Center

Practice address

6501 W 75TH St
Overland Park, KS 66204-3019

Phone

(913) 383-9866

Fax

(913) 383-1629

NPI assigned

Apr 26, 2007

Last updated

Apr 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Rodman

Title

Asst. Secretary

Phone

(407) 975-3011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Overland Park Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1114147949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COURTLAND ST",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041360",
            "telephone_number": "407-975-3000",
            "fax_number": "407-975-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043019",
            "telephone_number": "913-383-9866",
            "fax_number": "913-383-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MISSION HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASST. SECRETARY",
        "authorized_official_telephone_number": "407-975-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N046026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111890A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overland Park Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nirav J Shastri, MD
• Ann Marie Shaughnessy, PTA
• Dawson Scott Shaver, M.D.
• Emily Claire Shaw, RD, LD
• Shawna Shaw, MFT
• Shawnee Mission Internal Medicine LLC
• Shawnee Mission Medical Center Inc (Shawnee Mission Health Overland Park)
• Shawnee Mission Medical Center Inc (Adventhealth College Boulevard ER)
• Shawnee Mission Medical Center, Inc. (SM Urgent Care)
• Shawnee Mission Open MRI, LLC

• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.