The Greens Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036771 Issued in MO

Legal business name

THE GREENS HEALTHCARE LLC

Doing business as

Corner Brook Place

Practice address

12942 Wornall Rd
Kansas City, MO 64145-1253

Phone

(816) 942-6705

NPI assigned

Apr 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert W Redman

Title

Owner

Phone

(816) 415-9700

Specialties & licenses 1

Addresses

Other names 1

• Corner Brook Place Doing business as

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1760625313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451253",
            "telephone_number": "816-942-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12942 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451253",
            "telephone_number": "816-942-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREENS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-415-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Brook Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kansas City, MO
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• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.