Active NPI
Sedalia Health Group, LLC
- Assisted Living Facility
- Sedalia, MO
National Provider Identifier
1780164517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SEDALIA HEALTH GROUP, LLC
- Practice address
- 25023 Bothwell Park Rd
Sedalia, MO 65301-0084 - Phone
- (816) 550-6418
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Norman Wilcox
- Title
- Ceo
- Phone
- (913) 548-8559
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Custodial Care Facility | 311Z00000X | |||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
25023 Bothwell Park Rd
Sedalia, MO 65301-0084
Mailing address
11701 Nieman Rd
Overland Park, KS 66210-4310
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1780164517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 NIEMAN RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662104310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25023 BOTHWELL PARK RD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653010084",
"telephone_number": "816-550-6418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEDALIA HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "913-548-8559"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.