NPIMap

Organization Active NPI

Maywood Manor

  • Assisted Living Facility (Mental Illness)
  • Independence, MO
National Provider Identifier
1831302827
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
2437 Issued in MO
Legal business name
MAYWOOD MANOR
Practice address
1041 W Truman Rd
Independence, MO 64050-3447
Phone
(815) 254-6789
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
John Stroetker
Title
Adminstrator
Phone
(816) 254-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 2437 MO Primary

Addresses

Primary practice location

1041 W Truman Rd
Independence, MO 64050-3447

Mailing address

1041 W Truman Rd
Independence, MO 64050-3447

National Provider Directory

National Provider Directory
Tax ID family
Maywood Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1831302827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W TRUMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503447",
            "telephone_number": "815-254-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYWOOD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "STROETKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "816-254-6789"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MO",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.