Masonic Home of Missouri

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

031984 Issued in MO

Legal business name

MASONIC HOME OF MISSOURI

Practice address

1201 E. Bannister Rd
Kansas City, MO 64138

Phone

(816) 763-6667

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karin A Bell

Title

Executive Director

Phone

(573) 814-4663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730302787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 MASONIC DR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026568",
            "telephone_number": "573-814-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E. BANNISTER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64138",
            "telephone_number": "816-763-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-814-4663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Mason
• Jamie Mason, LPC, CEAP
• Mary Josephine Mason, RD,LD
• Michael Mason, AUD
• Abbey Rachel Masonbrink, MD
• Aisha Masoom
• Amgad Gerges Masoud, M.D
• Jennifer Chrisitne Massengale, M.D.
• Meredith Sight Massman, CPNP
• Lyla R. Masters, APRN

• Assisted Living Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.