Moc Wichita, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC WICHITA, LLC

Practice address

7057 West Village Circle
Wichita, KS 67205

Phone

(316) 977-7015

NPI assigned

Sep 1, 2016

Organization subpart

Yes

Parent organization

MS OPERATING COMPANY, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Paul Ezekiel Turner

Title

Ceo/Manager

Phone

(317) 460-0324

Specialties & licenses 2

Addresses

Other names 1

• The Healthcare Resort of Wichita Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1003362732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CLAY TERRACE BLVD.",
            "address_2": "SUITE 257",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-582-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 WEST VILLAGE CIRCLE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-977-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC WICHITA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MS OPERATING COMPANY, LLC",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EZEKIEL",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "317-460-0324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthcare Resort of Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.