Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Srz Op Autumn LLC

Organization Skilled Nursing Facility · NPI 1366932014

Srz Op Autumn LLC is a Skilled Nursing Facility in Raytown, Missouri. Medicare rates this nursing home 2 out of 5. Registered with an NPI since 2018.

CMS rating
2 of 5
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 265339)
Health inspection2.0 / 5
Staffing1.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

6124 Raytown Rd
Raytown, MO 64133
Phone: (816) 358-8222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1366932014
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSrz Op Holdings LLC
Authorized official Samuel Goldner — Authorized Person/Official · (347) 677-0448
Other names Polaris Health & Wellness Of Autumn Terrace
NPI enumeratedMay 17, 2018
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address22 Herrick Dr, Lawrence, NY 11559-1528

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