MAYWOOD MANOR
NPI 1790946549
Assisted Living Facility - Assisted Living, Mental Illness in Independence, MO
About Maywood Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYWOOD MANOR (NPI 1790946549) is a healthcare organization registered as an assisted living, mental illness in Independence, Missouri and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists John Herman Stroetker, 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 26D2073949
Maywood Manor · Independence, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, MO 64050
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 Stroetker Diversivied Inc's NPI number?
The NPI number for Stroetker Diversivied Inc is 1790946549. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is doing business as Maywood Manor.
Where is Stroetker Diversivied Inc located?
Stroetker Diversivied Inc is located at 1041 W Truman Rd, Independence, MO 64050. The listed phone number is (816) 254-6789.
What is Stroetker Diversivied Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does Stroetker Diversivied Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2073949) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Stroetker Diversivied Inc was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Maywood Manor · NPI 1790946549
Assisted Living, Mental Illness organization in Independence, Missouri. Organization record, active in the CMS NPPES registry since June 24, 2008.
## Identity
- **NPI:** 1790946549 (Entity type: Organization)
- **Enumerated:** June 24, 2008
- **Primary specialty:** Assisted Living Facility - Assisted Living, Mental Illness · taxonomy 3104A0625X
- **Legal business name:** Stroetker Diversivied Inc
- **Organization subpart:** No
- **Authorized official:** John Stroetker, PRESIDENT
## Practice location
- **Address:** 1041 W TRUMAN RD, Independence, MO 64050-3447
- **Phone:** (816) 254-6789
## Record status
- **NPPES last updated:** June 24, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790946549) · Data from the CMS NPPES public registry.