CARONDELET MANOR
NPI 1902808041
Skilled Nursing Facility in Kansas City, MO

Active since August 10, 2005CLIA 26D0443908 · Waiver
621 CARONDELET DR, KANSAS CITY, MO 64114(816) 943-4777(816) 941-7007 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carondelet Manor NPPES

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

CARONDELET MANOR (NPI 1902808041) is a healthcare organization registered as a skilled nursing facility in Kansas City, Missouri and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Coary Wayne Holmes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902808041
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARONDELET LONG TERM CARE FACILITIES INC
Location Address621 CARONDELET DRKansas City, MO 64114-4670
Mailing Address621 Carondelet DrKansas City, MO 64114-4670 · (816) 943-4777 · Fax (816) 941-7007
Fax(816) 941-7007
Organization SubpartNo
Authorized OfficialCoary Wayne HolmesAdministrator · (816) 943-4777
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1902808041 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 · 031121
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.
621 CARONDELET DR, Kansas City, MO 64114

Other Names 1

Doing Business AsCarondelet Manor

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 26D0443908

Carondelet Manor · Kansas City, MO
Active · expires Aug 31, 2026
CLIA Number26D0443908
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDianne L. Doctor
Laboratory Phone(816) 943-4777
Laboratory LocationCarondelet Manor621 Carondelet Dr, Kansas City, MO 64114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapy Assistant
621 CARONDELET DR
KANSAS CITY, MO 64114
Occupational Therapist
621 CARONDELET DR
KANSAS CITY, MO 64114
Occupational Therapist
621 CARONDELET DR
KANSAS CITY, MO 64114
Physical Therapy Assistant
621 CARONDELET DR
KANSAS CITY, MO 64114
Physical Therapist
621 CARONDELET DR
KANSAS CITY, MO 64114
Skilled Nursing Facility
621 CARONDELET DR
KANSAS CITY, MO 64114
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
621 CARONDELET DR
KANSAS CITY, MO 64114

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 1902808041. It was assigned to this organization in the NPPES registry on August 10, 2005. The provider is doing business as Carondelet Manor.

Where is Carondelet Long Term Care Facilities Inc located?

Carondelet Long Term Care Facilities Inc is located at 621 Carondelet Dr, Kansas City, MO 64114. The listed phone number is (816) 943-4777.

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.

Does Carondelet Long Term Care Facilities Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0443908) is associated with this NPI, valid through August 31, 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 Carondelet Long Term Care Facilities Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.