Active NPI
Carmel Hills Mo Consulting LLC
- Skilled Nursing Facility
- Independence, MO
National Provider Identifier
1831859024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CARMEL HILLS MO CONSULTING LLC
- Doing business as
- Polaris Health & Wellness of Carmel Hills
- Practice address
- 810 E Walnut St
Independence, MO 64050-4025 - Phone
- (816) 461-9600
- NPI assigned
- Dec 29, 2021
- 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
- Samuel Goldner
- Title
- Authorized Person
- Phone
- (516) 727-1634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
810 E Walnut St
Independence, MO 64050-4025
Mailing address
525 Chestnut St Ste 102
Cedarhurst, NY 11516-2223
Phone (516) 727-1634
Other names 1
- Polaris Health & Wellness of Carmel Hills
National Provider Directory
National Provider DirectoryLocations
810 E Walnut St
Independence, MO 64050
Phone (816) 460-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663286400000",
"number": "1831859024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 CHESTNUT ST STE 102",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162223",
"telephone_number": "516-727-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E WALNUT ST",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640504025",
"telephone_number": "816-461-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMEL HILLS MO CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A",
"authorized_official_last_name": "GOLDNER",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "AUTHORIZED PERSON",
"authorized_official_telephone_number": "516-727-1634"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Polaris Health & Wellness of Carmel Hills",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.