Carriage Square Living & Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

042269 Issued in MO

Legal business name

CARRIAGE SQUARE LIVING & REHAB CENTER LLC

Practice address

4009A Gene Field Rd
Saint Joseph, MO 64506-1864

Phone

(816) 364-1526

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Albert Milstein

Title

Owner

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1235545377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773341",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009A GENE FIELD RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061864",
            "telephone_number": "816-364-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE SQUARE LIVING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "MILSTEIN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "042269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101481703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Dee Carpenter, APRN-C, FNP
• Carpentieri & Associates, LLC
• Michelle Carpentieri, BCBA, LBA-MO
• Carriage Operator LLC
• Carriage Square Health Care Center, Inc.
• David Douglas Carter, LPC
• Kyle Carter, MS
• Ronald Carter, MSW, LCSW
• Michael S Caruso, LCSW
• Kaitlyn Carvell, PHARM D.

• 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 Dec 9, 2014; 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.