Organization · Type 2 NPI

CCRC Opco - Foxwood Springs, LLC

Skilled Nursing Facility · Raymore, MO

NPI number 1356453609 Active

Practice location

1500 W Foxwood Dr
Raymore, MO 64083-9372

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	032980 (MO)
Skilled Nursing Facility Primary	314000000X	032979 (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…

5 other providers at this address

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NPI record

NPI: 1356453609
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Nov 11, 2014
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Foxwood Springs Living Center · doing business as

Authorized official

Mr. Mark W Ohlendorf
CFO & President
(414) 918-5000

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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 1356453609

CCRC Opco - Foxwood Springs, LLC's National Provider Identifier is 1356453609, issued on Aug 31, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Raymore, MO. The record was last updated on Nov 11, 2014.