MEADOW VIEW OF HARRISONVILLE HEALTH & REHABILITATION
NPI 1386079622
Skilled Nursing Facility in Harrisonville, MO

Active since September 05, 2013CLIA 26D0942666 · Waiver
2203 E MECHANIC ST, HARRISONVILLE, MO 64701(816) 380-2622 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 26D0942666
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-15-2028

About MEADOW VIEW OF HARRISONVILLE HEALTH & REHABILITATION

This page provides the complete NPI Profile along with additional information for Meadow View Of Harrisonville Health & Rehabilitation, a provider established in Harrisonville, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1386079622 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 12 years ago. The provider's is doing business as Meadow View Of Harrisonville Health & Rehabilitation. The authorized official of this NPI record is Kam Mcgavock (President)

NPI
1386079622 Verify this NPI
Provider Legal Name
HARRISONVILLE SENIOR CARE LLC
Other Organization Name
MEADOW VIEW OF HARRISONVILLE HEALTH & REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2203 E MECHANIC ST HARRISONVILLE, MO 64701
Location Phone
(816) 380-2622
Mailing Address
920 RIDGEBROOK RD SPARKS, MD 21152
Mailing Phone
(410) 773-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2013
Last Update Date
05-16-2014
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Location Map

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
101481307MEDICAID (05)MO 
265362MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0942666
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
March 16, 2026
Certificate Expiration Date
March 15, 2028
Laboratory Director
RYAN LUSTIG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Meadow View Of Harrisonville Health & Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEADOW VIEW OF HARRISONVILLE HEALTH & REHABILITATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Skilled Nursing Facility
2203 E MECHANIC ST
HARRISONVILLE, MO 64701
Skilled Nursing Facility
2203 E MECHANIC ST
HARRISONVILLE, MO 64701
Skilled Nursing Facility
2203 E MECHANIC ST
HARRISONVILLE, MO 64701
Skilled Nursing Facility
2203 E MECHANIC ST
HARRISONVILLE, MO 64701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386079622, enumerated as an "organization" on September 05, 2013.

The provider is located at 2203 E MECHANIC ST HARRISONVILLE, MO 64701 and the phone number is (816) 380-2622.

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 verify.