MEDICARE: NM OF NASHUA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1508428970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NM OF NASHUA LLC

Provider Business Mailing Address
First Line	:	11221 N NASHUA DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-1159
Country	:	US
Telephone Number	:	816-734-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	11221 N NASHUA DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-1159
Country	:	US
Telephone Number	:	816-734-4433
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CARLA HEDRICK
Credential	:	CFO
Telephone Number	:	573-481-9625

Provider Enumeration Date	:	07/05/2019
Last Update Date	:	10/28/2025

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