Plaza Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

027102 Issued in MO

Legal business name

PLAZA MANOR, INC

Practice address

4330 Washington St
Kansas City, MO 64111-3340

Phone

(816) 753-6800

Fax

(816) 931-5528

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Joseph C Tutera

Title

President, Ceo

Phone

(816) 444-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Plaza Rehabilitation & Health Care Center Doing business as

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1306846100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 WASHINGTON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113340",
            "telephone_number": "816-753-6800",
            "fax_number": "816-931-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WASHINGTON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113340",
            "telephone_number": "816-753-6800",
            "fax_number": "816-931-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "027102",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MO",
            "license": "027102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101860302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Plaza Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plaza Aesthetics & Wellness LLC
• Plaza Anesthesia PC
• Plaza Chiropractic, P.C.
• Plaza Infectious Disease, PC
• Plaza Manor Care and Rehab LLC
• Plaza Primary Care and Geriatrics
• Plaza Primary Care and Geriatrics
• Plaza Therapy Group LLC
• Pleasant Dental Care KC
• Deborah Pledger

• 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 Jan 16, 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.