ST. MARY'S MANOR
NPI 1710979836
Skilled Nursing Facility in Blue Springs, MO

Active since August 16, 2005
111 NW MOCK AVE, BLUE SPRINGS, MO 64014(816) 228-5655(816) 228-8480 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Mary's Manor NPPES

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

ST. MARY'S MANOR (NPI 1710979836) is a healthcare organization registered as a skilled nursing facility in Blue Springs, Missouri and active in the NPI registry since August 2005. The organization lists Anthony Columbatto, Administrator, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710979836
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARONDELET LONG TERM CARE FACILITIES, INC.
Location Address111 NW MOCK AVEBlue Springs, MO 64014-2503
Mailing Address111 Nw Mock AveBlue Springs, MO 64014-2503 · (816) 228-5655 · Fax (816) 228-8480
Fax(816) 228-8480
Organization SubpartNo
Authorized OfficialAnthony ColumbattoAdministrator, Ceo · (816) 228-5655
Enumeration DateAugust 16, 2005
Last NPPES UpdateOctober 27, 2014
NPI 1710979836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 031289
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.
111 NW MOCK AVE, Blue Springs, MO 64014

Other Names 1

Doing Business AsSt. Mary's Manor

Other Identifiers 2

Medicare OSCAR/certification265759MO
Medicaid102390309MO

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Occupational Therapy Assistant
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Occupational Therapist (Physical Rehabilitation)
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Physical Therapist
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Occupational Therapy Assistant
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Physical Therapy Assistant
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Occupational Therapist
111 NW MOCK AVE
BLUE SPRINGS, MO 64014
Physical Therapy Assistant
111 NW MOCK AVE
BLUE SPRINGS, MO 64014

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 Carondelet Long Term Care Facilities, Inc.'s NPI number?

The NPI number for Carondelet Long Term Care Facilities, Inc. is 1710979836. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as St. Mary's Manor.

Where is Carondelet Long Term Care Facilities, Inc. located?

Carondelet Long Term Care Facilities, Inc. is located at 111 NW Mock Ave, Blue Springs, MO 64014. The listed phone number is (816) 228-5655.

What is Carondelet Long Term Care Facilities, Inc.'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 Carondelet Long Term Care Facilities, Inc. was last updated on October 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.