Organization Active NPI

Myersnursinghome

  • Nursing Facility/Intermediate Care Facility
  • Kansas City, MO
National Provider Identifier
1235127630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
031488 Issued in MO
Legal business name
MYERSNURSINGHOME
Practice address
2315 Walrond Ave
Kansas City, MO 64127-4210
Phone
(816) 231-3180
Fax
(816) 231-5941
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Doreen Elizabeth Crutchfield
Title
Administrator
Phone
(816) 231-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 031488 MO Primary

Addresses

Primary practice location

2315 Walrond Ave
Kansas City, MO 64127-4210

Mailing address

2315 Walrond Ave
Kansas City, MO 64127-4210
Phone (816) 231-3180

National Provider Directory

National Provider Directory

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235127630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WALROND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641274210",
            "telephone_number": "816-231-3180",
            "fax_number": "816-231-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WALROND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641274210",
            "telephone_number": "816-231-3180",
            "fax_number": "816-231-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERSNURSINGHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-231-3180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "031488",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.