Carondelet Long Term Care Facilities Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031121 Issued in MO

Legal business name

CARONDELET LONG TERM CARE FACILITIES INC

Doing business as

Carondelet Manor

Practice address

621 Carondelet Dr
Kansas City, MO 64114-4670

Phone

(816) 943-4777

Fax

(816) 941-7007

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Coary Wayne Holmes

Title

Administrator

Phone

(816) 943-4777

Specialties & licenses 1

Addresses

Other names 1

• Carondelet Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902808041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144670",
            "telephone_number": "816-943-4777",
            "fax_number": "816-941-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144670",
            "telephone_number": "816-943-4777",
            "fax_number": "816-941-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET LONG TERM CARE FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "COARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-943-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Elizabeth Carney, DO
• Carol Caring Hands Home Health LLC
• Carondelet Emergency Physicians Inc
• Carondelet Eye Care Associates PC
• Carondelet Health
• Carondelet Physician Services, Inc
• Carondelet Primary Care Network Dba Carondelet Specialty Care Network
• Carondelet Primary Care Network, Inc
• Phyllis Marie Carozza, PH.D.
• Amy Callaway Carpenter, APRN

• Skilled Nursing Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Skilled Nursing 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.