Organization · Type 2 NPI

Plaza Manor Care and Rehab LLC

Skilled Nursing Facility · Kansas City, MO

NPI number 1629521786 Active

Practice location

4330 Washington St
Kansas City, MO 64111-3340

Call (816) 753-6800 Map

Mailing address

1123 Mcdonald Ave
Brooklyn, NY 11230-3320

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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…

3 other providers at this address

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NPI record

NPI: 1629521786
Entity type: Organization (Type 2)
Issued: Jul 25, 2016
Last updated: Apr 5, 2017
Status: Active
Subpart: Yes of Ahuva Health Management, LLC

Other names

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The Grand Pavilion Health and Rehab · doing business as

Authorized official

Michael Greenfield
Manager
(845) 202-9844

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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 1629521786

Plaza Manor Care and Rehab LLC's National Provider Identifier is 1629521786, issued on Jul 25, 2016. 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 Apr 5, 2017.