Provider Demographics
NPI:1851384929
Name:NMCC INC
Entity Type:Organization
Organization Name:NMCC INC
Other - Org Name:NEW MARK CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT TREASURER CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:C
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:HARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-734-0533
Mailing Address - Street 1:11221 N NASHUA DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-1159
Mailing Address - Country:US
Mailing Address - Phone:816-734-4433
Mailing Address - Fax:816-734-4026
Practice Address - Street 1:11221 N NASHUA DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-1159
Practice Address - Country:US
Practice Address - Phone:816-734-4433
Practice Address - Fax:816-734-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO031120314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0594730001OtherDMERC
265308Medicare ID - Type Unspecified
0594730001Medicare ID - Type Unspecified