Towne Square Care of Gladstone LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TOWNE SQUARE CARE OF GLADSTONE LLC

Practice address

2900 NE Kendallwood Pkwy
Gladstone, MO 64119-1831

Phone

(865) 387-7401

Fax

(615) 622-8712

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Aidan Scott, ESQ

Title

VP of Business Development

Phone

(865) 387-7401

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1336760842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NE KENDALLWOOD PKWY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191831",
            "telephone_number": "865-387-7401",
            "fax_number": "615-622-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NE KENDALLWOOD PKWY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191831",
            "telephone_number": "865-387-7401",
            "fax_number": "615-622-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE SQUARE CARE OF GLADSTONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "AIDAN",
        "authorized_official_title_or_position": "VP OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "865-387-7401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.