Carroll Manor

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

033243 Issued in MO

Legal business name

CARROLL MANOR

Practice address

3400 Campbell St
Kansas City, MO 64109-2354

Phone

(816) 531-5746

Fax

(816) 531-5398

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank William Carroll Jr., RN

Title

Administrator

Phone

(816) 365-5433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336353077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641092354",
            "telephone_number": "816-531-5746",
            "fax_number": "816-531-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CAMPBELL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641092354",
            "telephone_number": "816-531-5746",
            "fax_number": "816-531-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-365-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "033243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Carranza
• Austin James Carrel
• Jason L. Carrigan
• Nikki Carrillo, LMSW
• Deidina N/a Carrion, PTA
• Alyssa Ann Carroll, MS LPC
• Hannah Carroll
• Janet Marie Carroll, R.D.
• Quincey Carroll, OTR/L
• Robin Eileen Carroll, RD

• Nursing Facility/Intermediate Care Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nursing Facility/Intermediate Care 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.