SUPERIOR PARK RCF LLC NPI 1275891079

NPI Information

  • NPI: 1275891079
  • Provider Name: SUPERIOR PARK RCF, LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: SUPERIOR PARK
  • Address: 410 SUPERIOR ST
    EXCELSIOR SPRINGS, MO
    ZIP 64024
  • Phone: (816) 630-3177

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NPI Details

SUPERIOR PARK RCF, LLC is an assisted living and mental illness assisted living facility in Excelsior Springs, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SUPERIOR PARK RCF, LLC NPI is 1275891079. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Park.

The provider's business location address is:

410 SUPERIOR ST
EXCELSIOR SPRINGS, MO
ZIP 64024-456
Phone: (816) 630-3177

The provider's authorized official is David Kayatta .
The authorized official title is Owner and has the following contact phone number (909) 581-7120.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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