KENNYBROOK VILLAGE – NPI #1013200914
Skilled Nursing Facility
(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.
KENNYBROOK VILLAGE is a skilled nursing facility (SNF) located in GRIMES, IA. NPPES has assigned the NPI number 1013200914 to KENNYBROOK VILLAGE on May 25, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENNYBROOK VILLAGE” is a dba name, the actual legal business name for this organization is CCRC OF GRIMES, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.
The NPI profile was previously updated about 9 years ago on Jan 26, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNYBROOK VILLAGE below.
NPI Profile for
CCRC OF GRIMES, LLC
(more than 15 years ago)
GRIMES, IA 50111 Phone: (515) 369-3900 Fax: (515) 369-3905
SUITE 103
OVERLAND PARK, KS 66210-2726 Phone: (913) 890-4780 Fax: (913) 956-6564
MANAGING MEMBER
Phone: (913) 599-5705
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 314000000X - Skilled Nursing Facility (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.