Organization
BLUE RIVER REHABILITATION CENTER, LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Blue River Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
10425 CHESTNUT DR, KANSAS CITY, MO 64137-3201
(816) 763-4444
(816) 763-4777
Mailing address
10425 CHESTNUT DR, KANSAS CITY, MO 64137-3201
(816) 763-4444
(816) 763-4777
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042936
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107809600
—
MO
Enumeration date
03/22/2007
Last updated
01/26/2016
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