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Contact Information

CCRC OF LEES SUMMIT, LLC
1501 SW ARBORWALK BLVD
LEE'S SUMMIT, MO64082
 Phone: 913-599-5705
 Fax: 913-890-4789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CCRC OF LEES SUMMIT, LLC

NPI # 1205528353
LBN Legal business name CCRC OF LEES SUMMIT, LLC
Authorized official GILBERT WOOD - (MANAGER OF THE LLC)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2023
Last updated 03/17/2025 - More than a year ago
Identifiers n/a
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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