Healthcare Provider Details

I. General information

NPI: 1215702907
Provider Name (Legal Business Name): ANEW HEALTHCARE OPERATIONS - SARCOXIE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 MINER ST
SARCOXIE MO
64862-9211
US

IV. Provider business mailing address

314 NW 11TH ST
BLUE SPRINGS MO
64015-3676
US

V. Phone/Fax

Practice location:
  • Phone: 417-548-3434
  • Fax:
Mailing address:
  • Phone: 816-622-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ADAM CONDER
Title or Position: GENERAL COUNSEL
Credential:
Phone: 816-830-8969