SRZ Op Lees Summit LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SRZ OP LEES SUMMIT LLC

Practice address

1501 SW 3Rd St
Lees Summit, MO 64081

Phone

(816) 525-6300

NPI assigned

May 17, 2018

Organization subpart

Yes

Parent organization

SRZ OP HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Samuel Goldner

Title

Authorized Person/Official

Phone

(347) 677-0448

Specialties & licenses 1

Addresses

Other names 1

• Polaris Health & Wellness of Lee's Summit Pointe Doing business as

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1164912911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERRICK DR",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591528",
            "telephone_number": "929-928-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SW 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64081",
            "telephone_number": "816-525-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRZ OP LEES SUMMIT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRZ OP HOLDINGS LLC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON/OFFICIAL",
        "authorized_official_telephone_number": "347-677-0448"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Health & Wellness of Lee's Summit Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.