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

Waterford South Assisted Living

Organization Assisted Living Facility · NPI 1386837110

Waterford South Assisted Living is an Assisted Living Facility in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

11515 Holmes Rd
Kansas City, MO 64131-3856
Phone: (816) 942-4898
Fax: (816) 942-3278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 251E00000X (MO)

Record details

NPI number1386837110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfredo Egbadon — Administrator · (816) 942-4898
NPI enumeratedAugust 24, 2007
Last updated in NPPESAugust 24, 2007
Mailing address11515 Holmes Rd, Kansas City, MO 64131-3856

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