Healthcare Provider Details

I. General information

NPI: 1215673603
Provider Name (Legal Business Name): CARNEGIE VILLAGE REHABILITATION & HEALTH CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 BERNARD DR
BELTON MO
64012-6182
US

IV. Provider business mailing address

7611 STATE LINE RD STE 301
KANSAS CITY MO
64114-1698
US

V. Phone/Fax

Practice location:
  • Phone: 916-491-6164
  • Fax:
Mailing address:
  • Phone: 636-222-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH C TUTERA
Title or Position: SOLE MEMBER
Credential:
Phone: 816-444-0900