Provider Demographics
NPI:1689668527
Name:CARE CENTER OF KANSAS CITY
Entity Type:Organization
Organization Name:CARE CENTER OF KANSAS CITY
Other - Org Name:SWOPE RIDGE GERIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WYATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-333-2700
Mailing Address - Street 1:5900 SWOPE PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-4241
Mailing Address - Country:US
Mailing Address - Phone:816-333-2700
Mailing Address - Fax:816-333-2054
Practice Address - Street 1:5900 SWOPE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-4241
Practice Address - Country:US
Practice Address - Phone:816-333-2700
Practice Address - Fax:816-333-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO030870313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO101496701Medicaid
MO101496701Medicaid