WATERFORD SOUTH ASSISTED LIVING
NPI 1386837110
Assisted Living Facility in Kansas City, MO

Active since August 24, 2007
11515 HOLMES RD, KANSAS CITY, MO 64131(816) 942-4898(816) 942-3278 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waterford South Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD SOUTH ASSISTED LIVING (NPI 1386837110) is a healthcare organization registered as an assisted living facility in Kansas City, Missouri and active in the NPI registry since August 2007. The organization lists Alfredo E. Egbadon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386837110
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWATERFORD SOUTH ASSISTED LIVING
Location Address11515 HOLMES RDKansas City, MO 64131-3856
Mailing Address11515 Holmes RdKansas City, MO 64131-3856
Fax(816) 942-3278
Organization SubpartNo
Authorized OfficialAlfredo E. EgbadonAdministrator · (816) 942-4898
Enumeration DateAugust 24, 2007
NPI 1386837110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MO · 251E00000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

11515 HOLMES RD, Kansas City, MO 64131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterford South Assisted Living's NPI number?

The NPI number for Waterford South Assisted Living is 1386837110. It was assigned to this organization in the NPPES registry on August 24, 2007.

Where is Waterford South Assisted Living located?

Waterford South Assisted Living is located at 11515 Holmes Rd, Kansas City, MO 64131. The listed phone number is (816) 942-4898.

What is Waterford South Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Waterford South Assisted Living was last updated on August 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.