Healthcare Provider Details

I. General information

NPI: 1073259883
Provider Name (Legal Business Name): PARKVIEW OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N HARDESTY AVE
KANSAS CITY MO
64123-1404
US

IV. Provider business mailing address

9722 GROFFS MILL DR
OWINGS MILLS MD
21117-6341
US

V. Phone/Fax

Practice location:
  • Phone: 816-241-2020
  • Fax:
Mailing address:
  • Phone:
  • 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: DOVID INSEL
Title or Position: REGIONAL DIRECTOR OF OPERATIONS
Credential:
Phone: 443-742-8167