Holmesdale Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

043417 Issued in MO

Legal business name

HOLMESDALE HEALTHCARE AND REHABILITATION CENTER, LLC

Doing business as

Holmesdale Healthcare and Rehabilitation Center

Practice address

8033 Holmes Rd
Kansas City, MO 64131-2115

Phone

(816) 363-6222

Fax

(816) 361-2025

NPI assigned

Jul 14, 2006

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holmesdale Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1639195936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312115",
            "telephone_number": "816-363-6222",
            "fax_number": "816-361-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312115",
            "telephone_number": "816-363-6222",
            "fax_number": "816-361-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMESDALE HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "043417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102569001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmesdale Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna J Holmes
• Katherine Holmes, PHARMD
• Paula Yvonne Holmes, APRN
• Thomas Reed Holmes, DDS
• Tracy K Holmes
• Johanna Holswade, LPC
• Jeffrey Edward Holt, LPC, NCC
• Kathryn Marie Holt, PHARMD
• Olivia Jo Holt
• Peter S Holt, MD

• 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 Jan 26, 2016; 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.