Shayron Carr
Individual provider Active NPI Nursing Home Administrator · Grain Valley, MO
NPI 1700728599 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1700728599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Home Administrator 376G00000X
- Practice address
- 1227 R D Mize Rd
Grain Valley, MO 64029-9438 - Phone
- (816) 788-0392
- NPI assigned
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator |
376G00000X | Yes |
Addresses
Primary practice location
1227 R D Mize Rd
Grain Valley, MO 64029-9438
Mailing address
1227 R D Mize Rd
Grain Valley, MO 64029-9438
Phone (816) 788-0392
Other providers in Grain Valley, MO
- Danette Rae Butler
- Elaina Camerlynck
- Morgn Shae Canterbury
- Caring Hands Residential
- Carondelet Physician Services, Inc.
- Monica R Carrier
- Nicole Carrillo
- Anna Renee Carter
- Lillian Cassidy
- Center for the Developmentally Disabled
All providers in Grain Valley, MO · Nursing Home Administrator in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.