Organization Active NPI

Manicure Nurse LLC

  • Home Health Agency
  • Lees Summit, MO
National Provider Identifier
1255675617
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MANICURE NURSE LLC
Practice address
229 SE Topaz Dr Ste a
Lees Summit, MO 64063-5138
Phone
(816) 313-2211
NPI assigned
Nov 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Ms. Kimberly GriswoldNPI 1023568144
Title
Executive Director
Phone
(816) 313-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Private Vehicle 347C00000X G203100009 MO

Addresses

Primary practice location

229 SE Topaz Dr Ste a
Lees Summit, MO 64063-5138

Mailing address

229 SE Topaz Dr Ste a
Lees Summit, MO 64063-5138
Phone (816) 313-2211

Other identifiers 1

IdentifierTypeStateIssuer
4962MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Manicure Nurse LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6329 Blue Ridge Blvd
Ste A
Raytown, MO 64133
Phone (816) 569-0453

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": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1255675617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SE TOPAZ DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640635138",
            "telephone_number": "816-313-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SE TOPAZ DR STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640635138",
            "telephone_number": "816-313-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANICURE NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-313-2211",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MO",
            "license": "G203100009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4962",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.