Organization Active NPI

Excelsior Springs Nursing and Rehab LLC

Doing business as Excelsior Springs Nursing & Rehab

  • Skilled Nursing Facility
  • Excelsior Springs, MO
National Provider Identifier
1447424353
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
034992 Issued in MO
Legal business name
EXCELSIOR SPRINGS NURSING AND REHAB LLC
Doing business as
Excelsior Springs Nursing & Rehab
Practice address
1003 Meadowlark LN
Excelsior Springs, MO 64024-3304
Phone
(816) 630-3145
Fax
(816) 630-3147
NPI assigned
Apr 22, 2008
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
James C. Lincoln
Title
Member
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 034992 MO Primary

Addresses

Primary practice location

1003 Meadowlark LN
Excelsior Springs, MO 64024-3304

Mailing address

1003 Meadowlark LN
Excelsior Springs, MO 64024-3304
Phone (816) 630-3145

Other names 1

  • EXCELSIOR SPRINGS NURSING & REHAB 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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1447424353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MEADOWLARK LN",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640243304",
            "telephone_number": "816-630-3145",
            "fax_number": "816-630-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MEADOWLARK LN",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640243304",
            "telephone_number": "816-630-3145",
            "fax_number": "816-630-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR SPRINGS NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "034992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCELSIOR SPRINGS NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.