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LONG TERM CARE ASSOCIATES INC NPI 1982616710


NPI Information

NPI: 1982616710
Provider Name: LONG TERM CARE ASSOCIATES INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
3619 S DELAWARE AVE
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 803-5173
Get Directions

LONG TERM CARE ASSOCIATES INC is a geriatric medicine family medicine in Independence, MO. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LONG TERM CARE ASSOCIATES INC NPI is 1982616710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3619 S DELAWARE AVE
INDEPENDENCE, MO
ZIP 64055-188
Phone: (816) 803-5173
Fax: (816) 461-2367

The provider's authorized official is Michael H Nielson .
The authorized official title is Owner and has the following contact phone number (816) 803-5173.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK7248MEDICARE OSCAR/CERTIFICATIONKANSAS
2CJ5371MEDICARE OSCAR/CERTIFICATIONMISSOURI
3L690000MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
4505740902MEDICAIDMISSOURI
5CJ5372MEDICARE OSCAR/CERTIFICATIONMISSOURI
6000013562MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
7L690000AMEDICARE ID-TYPE UNSPECIFIEDMISSOURI
8CJ5370MEDICARE OSCAR/CERTIFICATIONMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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