MEDICARE: CARE CENTER OF KANSAS CITY

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	313M00000X	Nursing Facility/Intermediate Care Facility	030870	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1689668527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CENTER OF KANSAS CITY

Provider Business Mailing Address
First Line	:	5900 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4241
Country	:	US
Telephone Number	:	816-333-2700
Fax Number	:	816-333-2054

Provider Business Practice Location Address
First Line	:	5900 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4241
Country	:	US
Telephone Number	:	816-333-2700
Fax Number	:	816-333-2054

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. PATRICIA WYATT
Credential	:
Telephone Number	:	816-333-2700

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	05/14/2008

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Directions to “CARE CENTER OF KANSAS CITY ” Practice Location

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