<Unavail>

LBN: Senior Life, Inc.
<Unavail> is an health care organization with primary practice located at 1616 Weisenborn Rd , Saint Joseph MO 64507-2527. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Senior Life, Inc. can be contacted via phone (816) 232-9874, or through Saxton, Timothy Delmar via phone (816) 364-2578.

Contact Information

Primary practice address
1616 Weisenborn Rd Saint Joseph MO 64507-2527
Phone: (816) 232-9874
Fax: (816) 364-4454
Website:
Map and Directions
Authorized official contact:
Name: Saxton, Timothy Delmar
Phone: (816) 364-2578

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 033685 Missouri
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 033652 Missouri

Profile Details

NPI number 1316089030
LBN Legal business name Senior Life, Inc.
DBA Doing business as <Unavail>
Authorized official Saxton, Timothy Delmar
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 11th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316089030 NPPES
Missouri MEDICAID 102051604
Missouri MEDICAID 262051600

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