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Contact Information

DIVERSICARE OF CHATEAU LLC
811 N 9TH ST
SAINT JOSEPH, MO64501-1651
 Phone: 816-233-5164
 Fax: 816-233-5211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for DIVERSICARE OF CHATEAU LLC

NPI # 1588079271
LBN Legal business name DIVERSICARE OF CHATEAU LLC
Authorized official MATTHEW WEISHAAR - (CFO AND SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/22/2014
Last updated 11/07/2022 - About 4 years ago
Identifiers
MO License # 042612
MO Medicaid 1588079271
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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