Healthcare Provider Details

I. General information

NPI: 1851384929
Provider Name (Legal Business Name): NMCC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11221 N NASHUA DR
KANSAS CITY MO
64155-1159
US

IV. Provider business mailing address

11221 N NASHUA DR
KANSAS CITY MO
64155-1159
US

V. Phone/Fax

Practice location:
  • Phone: 816-734-4433
  • Fax: 816-734-4026
Mailing address:
  • Phone: 816-734-4433
  • Fax: 816-734-4026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number031120
License Number StateMO

VIII. Authorized Official

Name: MR. C BRUCE HARKINS
Title or Position: ASSISTANT TREASURER CFO
Credential:
Phone: 816-734-0533