Organization · Type 2 NPI

Blue River Rehabilitation Center, LLC

Skilled Nursing Facility · Kansas City, MO

NPI number 1043336738 Active

Practice location

10425 Chestnut Dr
Kansas City, MO 64137-3201

Fax (816) 763-4777

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	042936 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1043336738
Entity type: Organization (Type 2)
Issued: Mar 22, 2007
Last updated: Jan 26, 2016
Status: Active
Subpart: Yes of Summit Care LLC

Other names

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Blue River Rehabilitation Center · doing business as

Authorized official

Michael T. Berg
Assistant Secretary
(505) 468-4752

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043336738

Blue River Rehabilitation Center, LLC's National Provider Identifier is 1043336738, issued on Mar 22, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kansas City, MO. The record was last updated on Jan 26, 2016.