Deaconess Long Term Care of Missouri, Inc
NPI 1164416509 · Skilled Nursing Facility · Raytown, MO
Deaconess Long Term Care of Missouri, Inc is a Skilled Nursing Facility organization in Raytown, MO (NPI 1164416509).
Provider details
- NPI number
- 1164416509
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Carla Brooks, Cfo(513) 487-3600
- License
- 029538 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Edgewood Manor
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2008-10-07
Frequently asked questions
- What is Deaconess Long Term Care of Missouri, Inc's NPI number?
- Deaconess Long Term Care of Missouri, Inc's National Provider Identifier (NPI) is 1164416509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Long Term Care of Missouri, Inc?
- Deaconess Long Term Care of Missouri, Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Deaconess Long Term Care of Missouri, Inc located?
- Deaconess Long Term Care of Missouri, Inc's practice location on file with NPPES is 11900 Jessica Ln, Raytown, MO 64138-2649.
- What is Deaconess Long Term Care of Missouri, Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Long Term Care of Missouri, Inc is (816) 358-7858.
- Who is the authorized official for Deaconess Long Term Care of Missouri, Inc?
- The authorized official listed on Deaconess Long Term Care of Missouri, Inc's NPPES record is Carla Brooks, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Long Term Care of Missouri, Inc's NPI active?
- Yes — Deaconess Long Term Care of Missouri, Inc's NPI (1164416509) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.