Hickory Creek Healthcare LLC
Skilled Nursing Facility in Kansas City, KS. Organization (NPI-2).
NPI number1982575304
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1982575304
- Entity type
- Organization (NPI-2)
- Legal business name
- Hickory Creek Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2025
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
6500 Greeley AveKansas City, KS 66104-2647
Phone 913-334-0200 · Fax 949-540-3007
Mailing address
6500 Greeley AveKansas City, KS 66104-2647
Phone 913-334-0200 · Fax 949-540-3007
Authorized official
Soon Burnam
Secretary
9495401249
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