Healthcare Provider Details

I. General information

NPI: 1235498700
Provider Name (Legal Business Name): SEASONS CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 05/23/2021
Certification Date: 05/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15600 WOODS CHAPEL RD
KANSAS CITY MO
64139-1354
US

IV. Provider business mailing address

7434 SKOKIE BLVD
SKOKIE IL
60077-3341
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-4757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License NumberLC1219000
License Number StateMO

VIII. Authorized Official

Name: MR. DAVID ZUCKERMAN
Title or Position: COMPTROLLER
Credential:
Phone: 847-982-2300