AUTUMN TERRACE HEALTH & REHABILITATION
NPI 1639504970
Skilled Nursing Facility in Raytown, MO
About Autumn Terrace Health & Rehabilitation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN TERRACE HEALTH & REHABILITATION (NPI 1639504970) is a healthcare organization registered as a skilled nursing facility in Raytown, Missouri and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Kam Mcgavock, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
(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.
Other Names 1
Other Identifiers 2
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 26D0895094
Raytown Road Healthcare LLC Dba Alpine Breeze Health And Wellness · Raytown, MOOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RAYTOWN, MO 64133
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 Raytown Health Care LLC's NPI number?
The NPI number for Raytown Health Care LLC is 1639504970. It was assigned to this organization in the NPPES registry on September 5, 2013. The provider is doing business as Autumn Terrace Health & Rehabilitation.
Where is Raytown Health Care LLC located?
Raytown Health Care LLC is located at 6124 Raytown Rd, Raytown, MO 64133. The listed phone number is (816) 358-8222.
What is Raytown Health Care LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Raytown Health Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0895094) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Raytown Health Care LLC was last updated on May 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.
