Active NPI
Gemini KC Land, LLC
- Assisted Living Facility
- Kansas City, MO
National Provider Identifier
1962290429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GEMINI KC LAND, LLC
- Doing business as
- Wexford Place Assisted Living & Memory Support by Senior Star
- Practice address
- 6460 N Cosby Ave
Kansas City, MO 64151-2301 - Phone
- (816) 587-5400
- NPI assigned
- Apr 25, 2025
- 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
- Shadoworee Betts
- Title
- Chief Operating Officer
- Phone
- (918) 592-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6460 N Cosby Ave
Kansas City, MO 64151-2301
Mailing address
1516 S Boston Ave Ste 301
Tulsa, OK 74119-4019
Phone (918) 592-4400
Other names 1
- Wexford Place Assisted Living & Memory Support by Senior Star
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2069755 | Senior Star at Wexford Place Assisted Living | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1962290429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 S BOSTON AVE STE 301",
"city": "TULSA",
"state": "OK",
"postal_code": "741194019",
"telephone_number": "918-592-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6460 N COSBY AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512301",
"telephone_number": "816-587-5400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEMINI KC LAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "BETTS",
"authorized_official_first_name": "SHADOWOREE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "918-592-4400"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wexford Place Assisted Living & Memory Support by Senior Star",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.