Healthcare Provider Details

I. General information

NPI: 1912129792
Provider Name (Legal Business Name): HOPE CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 83RD ST
KANSAS CITY MO
64114-2537
US

IV. Provider business mailing address

115 E 83RD ST
KANSAS CITY MO
64114-2537
US

V. Phone/Fax

Practice location:
  • Phone: 816-523-3988
  • Fax: 816-444-9045
Mailing address:
  • Phone: 816-523-3988
  • Fax: 816-444-9045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number033540
License Number StateMO

VIII. Authorized Official

Name: MR. MICHAEL J. MCTAVISH
Title or Position: CEO AND ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 816-523-3988