PHKC Cleveland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHKC CLEVELAND, LLC

Practice address

7001 Cleveland Ave
Kansas City, MO 64132-1622

Phone

(816) 333-0700

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Benjamin Klein

Title

Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

Other names 1

• Gregory Ridge Living Center Doing business as

Tax ID family

Gregory Ridge Health Care Center 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.

• Gregory Ridge Health Care Center, L.L.C.

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1881048338
  NPD tax ID

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1386945178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CLEVELAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321622",
            "telephone_number": "816-333-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHKC CLEVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory Ridge Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacie Phillips
• Patricia Allison Phillips, APRN, CPNP
• Robert W Phillips, LPC
• Tess Phillips
• Thomas P Phillips, M.D.
• PHKC Swope, LLC
• Phoenix HMR Holdings
• Tarah Judith an Phongsavath, DPT
• Physicians Reference Laboratory LLC
• Physicians Reference Laboratory LLC

• 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 Mar 25, 2015; 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.