Organization Active NPI

SRZ Op Abc LLC

  • Skilled Nursing Facility
  • Harrisonville, MO
National Provider Identifier
1497245153
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SRZ OP ABC LLC
Practice address
307 E South St
Harrisonville, MO 64701-3241
Phone
(816) 380-6352
NPI assigned
May 17, 2018
Organization subpart
Yes
Parent organization
SRZ OP HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Samuel Goldner
Title
Authorized Person/Official
Phone
(347) 677-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

307 E South St
Harrisonville, MO 64701-3241

Mailing address

22 Herrick Dr
Lawrence, NY 11559-1528
Phone (929) 928-0307

Other names 1

  • ABC Health Care 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": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1497245153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERRICK DR",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591528",
            "telephone_number": "929-928-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E SOUTH ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647013241",
            "telephone_number": "816-380-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRZ OP ABC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRZ OP HOLDINGS LLC",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON/OFFICIAL",
        "authorized_official_telephone_number": "347-677-0448"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Health Care",
            "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 17, 2018; 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.