MEDICARE: CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.

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	N105012	KS

General Provider Information

NPI Number	:	1942256656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.

Provider Business Mailing Address
First Line	:	3001 KEITH ST NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3713
Country	:	US
Telephone Number	:	423-473-5751
Fax Number	:	423-339-8342

Provider Business Practice Location Address
First Line	:	3231 N 61ST ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66104-1415
Country	:	US
Telephone Number	:	913-299-1770
Fax Number	:	913-299-9738

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	CINDY S. CROSS
Credential	:
Telephone Number	:	423-473-5867

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/15/2021

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