Provider Demographics
NPI:1275060915
Name:MCCRITE PLAZA AT BRIARCLIFF, LLC
Entity Type:Organization
Organization Name:MCCRITE PLAZA AT BRIARCLIFF, LLC
Other - Org Name:MCCRITE PLAZA AT BRIARCLIFF SKILLED FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:I
Authorized Official - Last Name:MCCRITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-267-2960
Mailing Address - Street 1:1610 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2564
Mailing Address - Country:US
Mailing Address - Phone:785-267-2960
Mailing Address - Fax:785-267-0138
Practice Address - Street 1:1201 TULLISON RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-2639
Practice Address - Country:US
Practice Address - Phone:816-888-7930
Practice Address - Fax:816-437-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044379310400000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO046364OtherSTATE SNF LICENSE
MO046216OtherSTATE SLF LICENSE