GRAND PAVILION, LLC
NPI 1548722283
Skilled Nursing Facility in Kansas City, MO

Active since April 02, 2019
4330 WASHINGTON ST, KANSAS CITY, MO 64111(816) 753-6800 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Pavilion, Llc NPPES

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

GRAND PAVILION, LLC (NPI 1548722283), doing business as Grand Pavilion At The Plaza, is a healthcare organization registered as a skilled nursing facility in Kansas City, Missouri and active in the NPI registry since April 2019. The organization lists William Matthew Novotny, Manager, as its authorized official.

NPPES Registry Identity

NPI1548722283
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGRAND PAVILION, LLC
Location Address4330 WASHINGTON STKansas City, MO 64111-3340
Mailing Address1213 Hylton Heights Rd Ste 129Manhattan, KS 66502-2812 · (785) 313-0946
Organization SubpartNo
Authorized OfficialWilliam Matthew NovotnyManager · (785) 313-0946
Enumeration DateApril 2, 2019
NPI 1548722283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4330 WASHINGTON ST, Kansas City, MO 64111

Other Names 1

Doing Business AsGrand Pavilion At The Plaza

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
4330 WASHINGTON ST
KANSAS CITY, MO 64111
Occupational Therapy Assistant
4330 WASHINGTON ST
KANSAS CITY, MO 64111
Skilled Nursing Facility
4330 WASHINGTON ST
KANSAS CITY, MO 64111

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 Grand Pavilion, LLC's NPI number?

The NPI number for Grand Pavilion, LLC is 1548722283. It was assigned to this organization in the NPPES registry on April 2, 2019. The provider is doing business as Grand Pavilion at the Plaza.

Where is Grand Pavilion, LLC located?

Grand Pavilion, LLC is located at 4330 Washington St, Kansas City, MO 64111. The listed phone number is (816) 753-6800.

What is Grand Pavilion, 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 Grand Pavilion, LLC was last updated on April 2, 2019. 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.