Organization Active NPI

Grandview Care Center Inc

Doing business as Grandview Manor Care Center

  • Skilled Nursing Facility
  • Grandview, MO
National Provider Identifier
1639274103
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
016196 Issued in MO
Legal business name
GRANDVIEW CARE CENTER INC
Doing business as
Grandview Manor Care Center
Practice address
5301 Harry Truman Drive
Grandview, MO 64030
Phone
(816) 763-2855
Fax
(816) 761-8763
NPI assigned
Sep 13, 2006
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Mr. Robert W Redman, LNHA
Title
Director of Operations
Phone
(816) 415-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 016196 MO Primary

Addresses

Primary practice location

5301 Harry Truman Drive
Grandview, MO 64030

Mailing address

5301 Harry Truman Drive
Grandview, MO 64030
Phone (816) 763-2855

Other identifiers 1

IdentifierTypeStateIssuer
108470808MedicaidMO

Other names 1

  • Grandview Manor Care 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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1639274103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 HARRY TRUMAN DRIVE",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "64030",
            "telephone_number": "816-763-2855",
            "fax_number": "816-761-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 HARRY TRUMAN DRIVE",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "64030",
            "telephone_number": "816-763-2855",
            "fax_number": "816-761-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "816-415-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "016196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108470808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.