Carriage Square Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031398 Issued in MO

Legal business name

CARRIAGE SQUARE HEALTH CARE CENTER, INC.

Practice address

4009 Gene Field Rd
Saint Joseph, MO 64506-1864

Phone

(816) 364-1526

Fax

(816) 364-2632

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Larry A Burford

Title

President

Phone

(816) 364-1526

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1225025554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 GENE FIELD RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061864",
            "telephone_number": "816-364-1526",
            "fax_number": "816-364-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 GENE FIELD RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061864",
            "telephone_number": "816-364-1526",
            "fax_number": "816-364-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE SQUARE HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "BURFORD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-364-1526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101481703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Carnahan, PA
• Michelle Dee Carpenter, APRN-C, FNP
• Carpentieri & Associates, LLC
• Michelle Carpentieri, BCBA, LBA-MO
• Carriage Operator LLC
• Carriage Square Living & Rehab Center LLC
• David Douglas Carter, LPC
• Kyle Carter, MS
• Ronald Carter, MSW, LCSW
• Michael S Caruso, LCSW

• Skilled Nursing Facility in Saint Joseph, MO
• Providers in Saint Joseph, 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 Mar 19, 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.