BEAUTIFUL SAVIOR HOME
Assisted Living Facility
Belton, Missouri
Provider NPI: 1457395782
Organization Information:Organization Name: BEAUTIFUL SAVIOR HOME
Practice Location:
1003 S CEDAR ST BELTON, MO 64012 US
Tel: 816-331-0781 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1003 S CEDAR ST BELTON, MO 64012 US
Tel: 816-331-0781 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MO | 031842 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MO | 031841 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
101479608 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin