MLD Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032592 Issued in MO

Legal business name

MLD HEALTHCARE LLC

Doing business as

Cameron Manor

Practice address

801 Euclid Ave
Cameron, MO 64429-2003

Phone

(816) 632-7254

Fax

(816) 632-3757

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Melvin L Dunsworth

Title

Owner/Persident

Phone

(816) 632-7254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cameron Manor Doing business as

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477644714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EUCLID AVE",
            "address_2": "PO BOX 438",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292003",
            "telephone_number": "816-632-7254",
            "fax_number": "816-632-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EUCLID AVE",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292003",
            "telephone_number": "816-632-7254",
            "fax_number": "816-632-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNSWORTH",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PERSIDENT",
        "authorized_official_telephone_number": "816-632-7254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "90769013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Paul McGraw Jr., DDS
• Missouri Quality Care
• Missouri Quality Care
• Missouri Veterans Commission
• Michelle Mitchell
• Leasa A Moore Simerly, PTA
• Linda Morris
• Jessica R Morrison
• Joshua D Murdock, LAT, ATC
• Murphy Medical, Inc.

• Skilled Nursing Facility in Cameron, MO
• Providers in Cameron, 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 Aug 22, 2020; 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.