Edgewood Manor Opco, LLC
NPI 1457822504 · Skilled Nursing Facility · Raytown, MO
Edgewood Manor Opco, LLC is a Skilled Nursing Facility organization in Raytown, MO (NPI 1457822504).
Provider details
- NPI number
- 1457822504
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Stern, Cfo(877) 567-0402
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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 Center for Rehab and Healthcare
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Frequently asked questions
- What is Edgewood Manor Opco, LLC's NPI number?
- Edgewood Manor Opco, LLC's National Provider Identifier (NPI) is 1457822504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgewood Manor Opco, LLC?
- Edgewood Manor Opco, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Edgewood Manor Opco, LLC located?
- Edgewood Manor Opco, LLC's practice location on file with NPPES is 11900 Jessica Ln, Raytown, MO 64138-2649.
- What is Edgewood Manor Opco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edgewood Manor Opco, LLC is (816) 358-7858.
- Who is the authorized official for Edgewood Manor Opco, LLC?
- The authorized official listed on Edgewood Manor Opco, LLC's NPPES record is Sam Stern, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgewood Manor Opco, LLC's NPI active?
- Yes — Edgewood Manor Opco, LLC's NPI (1457822504) is active in the NPPES registry as of the last update on 2018-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.