Plaza Manor Care and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PLAZA MANOR CARE AND REHAB LLC

Doing business as

The Grand Pavilion Health and Rehab

Practice address

4330 Washington St
Kansas City, MO 64111-3340

Phone

(816) 753-6800

NPI assigned

Jul 25, 2016

Organization subpart

Yes

Parent organization

AHUVA HEALTH MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Michael Greenfield

Title

Manager

Phone

(845) 202-9844

Specialties & licenses 1

Addresses

Other names 1

• The Grand Pavilion Health and Rehab Doing business as

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1629521786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303320",
            "telephone_number": "845-202-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WASHINGTON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113340",
            "telephone_number": "816-753-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MANOR CARE AND REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHUVA HEALTH MANAGEMENT, LLC",
        "enumeration_date": "2016-07-25",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-202-9844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grand Pavilion Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plaza Manor, Inc (The Plaza Rehabilitation & Health Care Center)
• Plaza Primary Care and Geriatrics
• Plaza Primary Care and Geriatrics
• Plaza Therapy Group LLC
• Pleasant Dental Care KC

• 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 Apr 5, 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.