Organization Active NPI

Clara Manor Nursing Home

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1992792386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031741 Issued in MO
Legal business name
CLARA MANOR NURSING HOME
Practice address
3621 Warwick Blvd
Kansas City, MO 64111-1403
Phone
(816) 756-0904
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary A Pecina
Title
Administrator
Phone
(816) 756-1593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031741 MO Primary

Addresses

Primary practice location

3621 Warwick Blvd
Kansas City, MO 64111-1403

Mailing address

3621 Warwick Blvd
Kansas City, MO 64111-1403
Phone (816) 756-0904

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0882594Clara Manor Nursing Home3621 Warwick Blvd, Kansas City, MO 64111Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

3621 Warwick Blvd
Kansas City, MO 64111
Phone (816) 561-9979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992792386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 WARWICK BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111403",
            "telephone_number": "816-756-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 WARWICK BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111403",
            "telephone_number": "816-756-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECINA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-756-1593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.