EDGEWOOD MANOR OPCO, LLC
NPI 1457822504
Skilled Nursing Facility in Raytown, MO

Active since December 16, 2018
11900 JESSICA LN, RAYTOWN, MO 64138(816) 358-7858 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgewood Manor Opco, Llc NPPES

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

EDGEWOOD MANOR OPCO, LLC (NPI 1457822504), doing business as Edgewood Manor Center For Rehab And Healthcare, is a healthcare organization registered as a skilled nursing facility in Raytown, Missouri and active in the NPI registry since December 2018. The organization lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457822504
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEDGEWOOD MANOR OPCO, LLC
Location Address11900 JESSICA LNRaytown, MO 64138-2649
Mailing Address14c 53rd St Ste 220Brooklyn, NY 11232-2644 · (877) 567-0402
Organization SubpartNo
Authorized OfficialSam SternCfo · (877) 567-0402
Enumeration DateDecember 16, 2018
NPI 1457822504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedRespite CareTaxonomy 385H00000X
11900 JESSICA LN, Raytown, MO 64138

Other Names 1

Doing Business AsEdgewood Manor Center For Rehab And Healthcare

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
11900 JESSICA LN
RAYTOWN, MO 64138
Skilled Nursing Facility
11900 JESSICA LN
RAYTOWN, MO 64138
Physical Therapist
11900 JESSICA LN
RAYTOWN, MO 64138
Occupational Therapy Assistant
11900 JESSICA LN
RAYTOWN, MO 64138
Skilled Nursing Facility
11900 JESSICA LN
RAYTOWN, MO 64138
Speech-Language Pathologist
11900 JESSICA LN
RAYTOWN, MO 64138
Skilled Nursing Facility
11900 JESSICA LN
RAYTOWN, MO 64138
Skilled Nursing Facility
11900 JESSICA LN
RAYTOWN, MO 64138

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 Edgewood Manor Opco, LLC's NPI number?

The NPI number for Edgewood Manor Opco, LLC is 1457822504. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Edgewood Manor Center for Rehab and Healthcare.

Where is Edgewood Manor Opco, LLC located?

Edgewood Manor Opco, LLC is located at 11900 Jessica Ln, Raytown, MO 64138. The listed phone number is (816) 358-7858.

What is Edgewood Manor Opco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Edgewood Manor Opco, LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.