Organization
JOHN KNOX VILLAGE
Active
Parent organization
JOHN KNOX VILLAGE
Other names
Home Health by John Knox Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN KNOX VILLAGE
Authorized official
ANTHONY COLUMBATTO (VICE PRESIDENT HEALTH SERVICES)
(816) 347-2030
Entity
Organization
Contact information
Practice address
600 NW PRYOR RD UNIT 300, LEES SUMMIT, MO 64081-1104
(816) 524-1133
(816) 347-1979
Mailing address
400 NW MURRAY ROAD, LEES SUMMIT, MO 64081-1499
(816) 347-2030
(816) 347-1979
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
132-20
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003882380001
—
KS
05
—
581070802
—
MO
Enumeration date
06/02/2005
Last updated
12/26/2024
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