Blue River Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030243 Issued in MO

Legal business name

BLUE RIVER CARE CENTER, LLC

Practice address

10425 Chestnut Dr
Kansas City, MO 64137-3201

Phone

(816) 763-4444

Fax

(816) 763-4777

NPI assigned

Jul 28, 2005

Last updated

Aug 22, 2020By 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

Ms. Mary Thurber

Title

Corporate Administrator

Phone

(816) 763-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue River Care Center Other name

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245230689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 CHESTNUT DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641373201",
            "telephone_number": "816-763-4444",
            "fax_number": "816-763-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 CHESTNUT DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641373201",
            "telephone_number": "816-763-4444",
            "fax_number": "816-763-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURBER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-763-4444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC MEDICARE SUBMITTER",
            "identifier": "D08605687",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue River Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Kansas City, MO
• Providers in Kansas City, 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 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.