Organization Active NPI

Northeast Leasing Co., LLC

Doing business as Maple Wood Healthcare Center

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1487195665
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NORTHEAST LEASING CO., LLC
Doing business as
Maple Wood Healthcare Center
Practice address
724 NE 79TH Ter
Kansas City, MO 64118-1564
Phone
(816) 436-8940
Fax
(813) 436-9289
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Charles Stoltz
Title
Cfo
Phone
(513) 530-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

724 NE 79TH Ter
Kansas City, MO 64118-1564

Mailing address

724 NE 79TH Ter
Kansas City, MO 64118-1564
Phone (816) 436-8940

Other names 1

  • Maple Wood Healthcare 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": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1487195665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 NE 79TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181564",
            "telephone_number": "816-436-8940",
            "fax_number": "813-436-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NE 79TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181564",
            "telephone_number": "816-436-8940",
            "fax_number": "813-436-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST LEASING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-530-1613"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Wood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.