MEDICARE: ASPIRE SENIOR LIVING PLATTE CITY, LLC

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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1144896184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE SENIOR LIVING PLATTE CITY, LLC

Provider Business Mailing Address
First Line	:	19401 E US HIGHWAY 40 STE 120
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-5400
Country	:	US
Telephone Number	:	816-957-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 OROURKE DR
Second Line	:
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-9360
Country	:	US
Telephone Number	:	636-586-3022
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	DAVID STADTMUELLER
Credential	:
Telephone Number	:	816-957-1010

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	04/10/2025

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