Healthcare Provider Details

I. General information

NPI: 1396331575
Provider Name (Legal Business Name): CARE CENTER CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2020
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12110 HOLMES RD
KANSAS CITY MO
64145-1707
US

IV. Provider business mailing address

601 W 57TH TER
KANSAS CITY MO
64113-1168
US

V. Phone/Fax

Practice location:
  • Phone: 816-941-3006
  • Fax:
Mailing address:
  • Phone: 863-259-9800
  • 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: JUDITH REA
Title or Position: VICE PRESIDENT
Credential:
Phone: 816-210-7730