NPI
Deaconess Long Term Care of Missouri, Inc
Doing business as Edgewood Manor. NPI 1164416509
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-08-31
- Last updated
- 2008-10-07
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Specialties
Licenses
- License MO
- 029538
Location
- Practice location
- 11900 Jessica Ln
- City
- Raytown MO
- Postal code
- 64138-2649
- Phone
- (816) 358-7858
Organization contact
- Name
- Carla Brooks
- Title
- CFO
- Phone
- (513) 487-3600
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Raytown, MO. 499 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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