Organization Active NPI

Ashton Court Healthcare LLC

  • Skilled Nursing Facility
  • Liberty, MO
National Provider Identifier
1699722876
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
043597 Issued in MO
Legal business name
ASHTON COURT HEALTHCARE LLC
Practice address
1200 W College St
Liberty, MO 64068-1036
Phone
(816) 781-3020
Fax
(816) 792-4043
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Kenneth Ussery
Title
VP
Phone
(407) 571-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 043597 MO Primary

Addresses

Primary practice location

1200 W College St
Liberty, MO 64068-1036

Mailing address

1200 W College St
Liberty, MO 64068-1036
Phone (816) 781-3020

Other identifiers 1

IdentifierTypeStateIssuer
101484905MedicaidMO

Other names 1

  • Ashton Court Care and Rehabilitation Centre Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1699722876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020",
            "fax_number": "816-792-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020",
            "fax_number": "816-792-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON COURT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "043597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101484905",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ashton Court Care and Rehabilitation Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashton Court Care and Rehabilitation Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.