Raytown Road Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RAYTOWN ROAD HEALTHCARE LLC

Practice address

6124 Raytown Rd
Raytown, MO 64133-4007

Phone

(816) 358-8222

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

William Miller

Title

Authorized Person

Phone

(253) 268-2410

Specialties & licenses 1

Addresses

Other names 1

• Alpine Breeze Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265339

Legal name

RAYTOWN ROAD HEALTHCARE LLC

Doing business as

ALPINE BREEZE HEALTH AND WELLNESS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 2, 1988

Last certification

Oct 23, 2023

Beds

154

Ownership / control type

Corporation

Multi-facility organization

VERTICAL HEALTH SERVICES

Organization structure

LLCProprietary

Enrollment address

6124 Raytown Rd
Raytown, MO 64133-4007

Nursing home name

ALPINE BREEZE HEALTH AND WELLNESS

Affiliated entity

VERTICAL HEALTH SERVICES

Listed as

Alpine Breeze Health and WellnessCCN 265339

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 2, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

154144.8 residents per day on average

Chain

Vertical Health Services15 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

3Fines totaling $35,683

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• North 18TH Street Healthcare LLC

  • Skilled Nursing Facility
  • Saint Joseph, MO
  • NPI 1871277939

  Vertical Health Services LLC, VHS Holdco LLC, VHS Mo Opco Holdings LLC, VHS Ultimate Parent LLC

  CMS ownership
• Southwest 2ND Street Healthcare LLC

  • Skilled Nursing Facility
  • Renton, WA
  • NPI 1538842463

  Vertical Health Services LLC, VHS Holdco LLC, VHS Ultimate Parent LLC

  CMS ownership
• Standifer Gap Rd Healthcare LLC

  • Skilled Nursing Facility
  • Chattanooga, TN
  • NPI 1700561008

  Vertical Health Services LLC, VHS Holdco LLC, VHS Ultimate Parent LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramilo Inocencio Gatapia, MD

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1457448706
  NPD (past)
• Brian Moore Haas, D.O

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1033352463
  NPD (past)
• Srinath Tadakamalla, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisonville, MO
  • NPI 1184691305
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ramilo Inocencio Gatapia, MD

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1457448706

  Nursing home

  Care Compare affiliation
• Brian Moore Haas, D.O

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1033352463

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1457035503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CANYON RD E STE 8",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 RAYTOWN RD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641334007",
            "telephone_number": "816-358-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTOWN ROAD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "253-268-2410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Breeze Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raytown Dental LLC
• Raytown Dental PLLC
• Raytown Dentist, LLC
• Raytown Health Care LLC
• Raytown Opco LLC
• Reaching Out
• Lawrence D Reed, OD
• Caroline Reid
• Renu Counseling Services LLC
• Research Family Physicians LLC

• All providers in Raytown, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.