Provider Demographics
NPI:1518958859
Name:WOMENS CHRISTIAN ASSOCIATION OF KANSAS CITY MISSOURI
Entity Type:Organization
Organization Name:WOMENS CHRISTIAN ASSOCIATION OF KANSAS CITY MISSOURI
Other - Org Name:ARMOUR OAKS SENIOR LIVING COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIDDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-363-5141
Mailing Address - Street 1:8100 WORNALL RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-5806
Mailing Address - Country:US
Mailing Address - Phone:816-363-5141
Mailing Address - Fax:816-363-1857
Practice Address - Street 1:8100 WORNALL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-5806
Practice Address - Country:US
Practice Address - Phone:816-363-5141
Practice Address - Fax:816-363-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO031818313M00000X
MO040981314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO101479301Medicaid
MO101479301Medicaid