Sa-Enc Glennon Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

33399 Issued in MO

Legal business name

SA-ENC GLENNON PLACE, LLC

Practice address

128 N Hardesty Ave
Kansas City, MO 64123-1404

Phone

(816) 241-2020

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mitchell Starer

Title

Authorized Representative

Phone

(914) 390-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glennon Place Nursing Center Doing business as

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1609904705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W RED OAK LN",
            "address_2": "SUITE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043603",
            "telephone_number": "914-390-4300",
            "fax_number": "914-251-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N HARDESTY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641231404",
            "telephone_number": "816-241-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA-ENC GLENNON PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "STARER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "914-390-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "33399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33399",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glennon Place Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elaine Ryan, DNP
• Patrick B Ryan, BS PHARMD
• Sarah Ryan, PHARMD
• Sean M Ryan, FNP-C
• Marilyn M Rymer, M.D.
• Kartaar Saahil, M.D
• Andrea Maria Saar, PHARMD
• Sarah Lee Sabata, LCSW, LSCSW
• Sabates Eye Centers
• Sabates Eye Centers

• Skilled Nursing Facility in Kansas City, MO
• Providers in Kansas City, 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 Oct 30, 2013; 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.