N & R of South Kansas City LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

N & R OF SOUTH KANSAS CITY LLC

Doing business as

Timberlake Care Center

Practice address

12110 Holmes Rd
Kansas City, MO 64145-1707

Phone

(816) 941-3006

NPI assigned

May 27, 2016

Organization subpart

No

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

Authorized official

Name

Mathias P Dasal

Title

Member

Phone

(573) 481-9625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TIMBERLAKE CARE CENTER Doing business as

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1700234937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451707",
            "telephone_number": "816-941-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451707",
            "telephone_number": "816-941-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF SOUTH KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "DASAL",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-481-9625"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102084506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMBERLAKE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myocore, LLC
• Tanya Annette Myrick, MS,CCC-SLP
• Timothy G Myrick, MD
• Mystery America, Inc. (Amy M. Lundin, D.C.)
• MZ Medical Transportaion
• Sandra L Nabours, APRN,BC
• Diana Nacy, DNP
• Nitin Nadella
• Cy Borman Nadler, PHD
• Kaveh Naemi, D.O., FCAP

• 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 Jun 13, 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.