Healthcare Provider Details

I. General information

NPI: 1982759825
Provider Name (Legal Business Name): MOUNTAINVIEW CAREPOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 N 41ST ST
KANSAS CITY KS
66104-3535
US

IV. Provider business mailing address

2038 N 41ST ST
KANSAS CITY KS
66104-3535
US

V. Phone/Fax

Practice location:
  • Phone: 913-287-8304
  • Fax: 800-441-6055
Mailing address:
  • Phone: 913-287-8304
  • Fax: 800-441-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberB105115
License Number StateKS

VIII. Authorized Official

Name: MS. JACQUELINE J BUCHANAN
Title or Position: OWNER OPERATOR
Credential:
Phone: 913-287-8304