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NPI Code Detail

MEDICARE: KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.

MEDICARE: KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility031146MO
2314000000XSkilled Nursing Facility031145MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013018399
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANSAS CITY UNITED METHODIST RETIREMENT HOME, INC.
Provider Business Mailing Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-942-0994
Fax Number : 816-942-8131
Provider Business Practice Location Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-942-0994
Fax Number : 816-942-8131
Authorized Official
Title or Position : CHAIR
Name : RICHARD M LANE
Credential :
Telephone Number : 816-554-6155
Provider Enumeration Date : 09/26/2006
Last Update Date : 08/28/2019

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