Kendallwood Senior Properties, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

033910 Issued in MO

Legal business name

KENDALLWOOD SENIOR PROPERTIES, LLC

Doing business as

Anew Senior Living

Practice address

2801 NE 60TH St
Gladstone, MO 64119-2040

Phone

(816) 454-7755

Fax

(816) 454-2858

NPI assigned

Apr 12, 2007

Last updated

Jan 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul K Thoma

Title

Authorized Agent

Phone

(913) 492-7800

Specialties & licenses 1

Addresses

Other names 2

• Anew Senior Living Doing business as
• Kendallwood Senior Properties, LLC Former legal business name

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1346464369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 BOND",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-492-7800",
            "fax_number": "913-492-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 60TH ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192040",
            "telephone_number": "816-454-7755",
            "fax_number": "816-454-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALLWOOD SENIOR PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "913-492-7800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kendallwood Senior Properties, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kendallwood Senior Properties, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.