Big Blue Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BIG BLUE HEALTHCARE LLC

Practice address

7850 Freeman Ave
Kansas City, KS 66112-2133

Phone

(913) 334-3666

Fax

(913) 334-2904

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Riverbend Post Acute Rehabilitation Doing business as

Tax ID family

Big Blue Healthcare 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.

• Big Blue Healthcare LLC

  • Skilled Nursing Facility
  • Kansas City, KS
  • NPI 1922458413
  NPD tax ID

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1336734177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 FREEMAN AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122133",
            "telephone_number": "913-334-3666",
            "fax_number": "913-334-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 FREEMAN AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122133",
            "telephone_number": "913-334-3666",
            "fax_number": "913-334-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BLUE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverbend Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evguenia Ouchveridze Bhurtel, M.D.
• Poonam Bhyan, M.D.
• Aaron Bickerstaff
• Erin Nicole Bider, MD
• Autumn Rose Biers, MD
• Big Blue Healthcare LLC
• Jennifer Marie Biggs, PAC
• Connie L Bilyeu, MACCCSLP
• Brianna Rachelle Bingham, DO
• Morgan Taylor Bingham, APRN-NP

• All providers in Kansas City, KS
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.