EDGEWOOD MANOR HEALTH CARE CENTER, L.L.C.
NPI 1467072280
Skilled Nursing Facility in Raytown, MO
About Edgewood Manor Health Care Center, L.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWOOD MANOR HEALTH CARE CENTER, L.L.C. (NPI 1467072280), doing business as Edgewood Manor Health Care Center, is a healthcare organization registered as a skilled nursing facility in Raytown, Missouri and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J. Destefane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0444670
Edgewood Manor Health Care Center · Raytown, MONursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Edgewood Manor Health Care Center (CMS certification number 265425), from CMS Care Compare.
Edgewood Manor Health Care Center
Nursing home · Raytown, MOCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
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.
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 Health Care Center, L.L.C.'s NPI number?
The NPI number for Edgewood Manor Health Care Center, L.L.C. is 1467072280. It was assigned to this organization in the NPPES registry on April 22, 2020. The provider is doing business as Edgewood Manor Health Care Center.
Where is Edgewood Manor Health Care Center, L.L.C. located?
Edgewood Manor Health Care Center, L.L.C. is located at 11900 Jessica Ln, Raytown, MO 64138. The listed phone number is (816) 358-7858.
What is Edgewood Manor Health Care Center, L.L.C.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Edgewood Manor Health Care Center, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0444670) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Edgewood Manor Health Care Center, L.L.C. a Medicare-certified nursing home?
Yes. Edgewood Manor Health Care Center is a Medicare-certified nursing home with 91 certified beds.
What quality rating does Edgewood Manor Health Care Center, L.L.C. have?
CMS rates Edgewood Manor Health Care Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
When was this NPI record last updated?
The NPPES record for Edgewood Manor Health Care Center, L.L.C. was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.