Organization Active NPI

Crown Care Center of Harrisonville, L.C.

Doing business as Crown Care Center

  • Skilled Nursing Facility
  • Harrisonville, MO
National Provider Identifier
1427045467
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
027621 Issued in MO
Legal business name
CROWN CARE CENTER OF HARRISONVILLE, L.C.
Doing business as
Crown Care Center
Practice address
3001 E Elm St
Harrisonville, MO 64701-1196
Phone
(816) 380-6525
Fax
(816) 380-4963
NPI assigned
Oct 4, 2005
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Mr. Steve Bunch
Title
Vice President of Operations
Phone
(816) 380-6525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 027621 MO Primary

Addresses

Primary practice location

3001 E Elm St
Harrisonville, MO 64701-1196

Mailing address

3001 E Elm St
Harrisonville, MO 64701-1196
Phone (816) 380-6525

Other identifiers 1

IdentifierTypeStateIssuer
108252602MedicaidMO

Other names 1

  • Crown Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1427045467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E ELM ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011196",
            "telephone_number": "816-380-6525",
            "fax_number": "816-380-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E ELM ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647011196",
            "telephone_number": "816-380-6525",
            "fax_number": "816-380-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CARE CENTER OF HARRISONVILLE, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "816-380-6525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "027621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108252602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.