OrganizationActive
Srz Op Autumn LLC
NPI 1366932014 · Skilled Nursing Facility · Raytown, MO
Srz Op Autumn LLC is a Skilled Nursing Facility organization in Raytown, MO (NPI 1366932014).
Provider details
- NPI number
- 1366932014
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Srz Op Holdings LLC
- Organization subpart
- Yes
- Authorized official
- Samuel Goldner, Authorized Person/Official(347) 677-0448
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
6124 Raytown Rd
Raytown, MO 64133
Phone: (816) 358-8222
Street-level locationGet directions
Mailing address
22 Herrick Dr
Lawrence, NY 11559-1528
Other names (DBA / former)
- Doing business as
- Polaris Health & Wellness of Autumn Terrace
Registry dates
- Enumerated
- 2018-05-17
- Last updated
- 2022-09-16
- Certified
- 2022-09-16
Frequently asked questions
- What is Srz Op Autumn LLC's NPI number?
- Srz Op Autumn LLC's National Provider Identifier (NPI) is 1366932014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Srz Op Autumn LLC?
- Srz Op Autumn LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Srz Op Autumn LLC located?
- Srz Op Autumn LLC's practice location on file with NPPES is 6124 Raytown Rd, Raytown, MO 64133.
- What is Srz Op Autumn LLC's phone number?
- The practice phone number listed in the NPPES registry for Srz Op Autumn LLC is (816) 358-8222.
- Who is the authorized official for Srz Op Autumn LLC?
- The authorized official listed on Srz Op Autumn LLC's NPPES record is Samuel Goldner, Authorized Person/Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Srz Op Autumn LLC's NPI active?
- Yes — Srz Op Autumn LLC's NPI (1366932014) is active in the NPPES registry as of the last update on 2022-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.