Organization Active NPI

Gametime Living LLC.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Topeka, KS
National Provider Identifier
1003241779
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
200679800A Issued in KS
Legal business name
GAMETIME LIVING LLC.
Practice address
1501 S Kansas Ave
Topeka, KS 66612-1304
Phone
(785) 806-6739
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jerry L Kruger
Title
Owner
Phone
(785) 806-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 200679800A KS Primary

Addresses

Primary practice location

1501 S Kansas Ave
Topeka, KS 66612-1304

Mailing address

1501 S Kansas Ave
Topeka, KS 66612-1304
Phone (785) 806-6739

National Provider Directory

National Provider Directory

Locations

1501 S Kansas Ave
Topeka, KS 66612
Phone (785) 806-6739

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1003241779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121304",
            "telephone_number": "785-806-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S KANSAS AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666121304",
            "telephone_number": "785-806-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMETIME LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-806-6739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "200679800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.