Healthcare Provider Details

I. General information

NPI: 1841738598
Provider Name (Legal Business Name): NURSING & REHAB AT CHESTNUT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2017
Last Update Date: 03/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10425 CHESTNUT DR
KANSAS CITY MO
64137-3201
US

IV. Provider business mailing address

4601 WILSHIRE BLVD SUITE 220
LOS ANGELES CA
90010-3880
US

V. Phone/Fax

Practice location:
  • Phone: 816-763-4444
  • Fax:
Mailing address:
  • Phone: 323-405-3377
  • Fax: 323-900-0285

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: SOLOMON GURWITZ
Title or Position: OWNER
Credential:
Phone: 323-405-3377