AUTUMN TERRACE HEALTH & REHABILITATION
NPI 1639504970
Skilled Nursing Facility in Raytown, MO

NPI Status: Active since September 05, 2013

Contact Information

6124 RAYTOWN RD
RAYTOWN, MO
ZIP 64133
Phone: (816) 358-8222

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  • Organization
  • Skilled Nursing Facility

About AUTUMN TERRACE HEALTH & REHABILITATION

This page provides the complete NPI Profile along with additional information for Autumn Terrace Health & Rehabilitation, a provider established in Raytown, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1639504970 assigned on September 2013. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Autumn Terrace Health & Rehabilitation. The authorized official of this NPI record is Kam Mcgavock (President)

NPI
1639504970
Provider Legal Name
RAYTOWN HEALTH CARE LLC
Other Organization Name
AUTUMN TERRACE HEALTH & REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6124 RAYTOWN RD RAYTOWN, MO 64133
Location Phone
(816) 358-8222
Mailing Address
920 RIDGEBROOK RD SPARKS, MD 21152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2013
Last Update Date
05-16-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAM MCGAVOCK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(410) 773-1000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
265339MEDICARE OSCAR/CERTIFICATION (06) 
101481000MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639504970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691008914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 0 + 8 + 9 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639504970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417940834DEACONESS LONG TERM CARE OF MISSOURI, INC.
Organization
Skilled Nursing Facility6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 358-8222
1629389028 NOLAN RAY DYER
Individual
Physical Therapist6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 353-2559
1760793152MS. BARBARA S DURBIN OTR/L
Individual
Occupational Therapist6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 353-2559
1508187550BENCHMARK HEALTHCARE OF RAYTOWN, LLC
Organization
Skilled Nursing Facility6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 358-8222
1881236800 REBECCA LINDQUIST LCSW
Individual
Social Worker (Clinical)6124 RAYTOWN RD
RAYTOWN, MO 64133
(888) 365-6271
1366932014SRZ OP AUTUMN LLC
Organization
Skilled Nursing Facility6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 358-8222
1881363927WELLSPRING HEALTHCARE LLC
Organization
Internal Medicine6124 RAYTOWN RD
RAYTOWN, MO 64133
(909) 815-3324
1457035503RAYTOWN ROAD HEALTHCARE LLC
Organization
Skilled Nursing Facility6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 358-8222
1093527822 SHIVA GHEBLEHVERDI OCCUPATIONAL THERAPY
Individual
Occupational Therapist6124 RAYTOWN RD
RAYTOWN, MO 64133
(816) 358-8222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639504970, enumerated in the NPI registry as an "organization" on September 05, 2013

The provider is located at 6124 Raytown Rd Raytown, Mo 64133 and the phone number is (816) 358-8222

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 05, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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