Masons Memory LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

A030002 Issued in KS

Legal business name

MASONS MEMORY LLC

Practice address

2534 S Main St Ste C
Ottawa, KS 66067-9555

Phone

(785) 242-8882

Fax

(785) 242-8305

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Thornbrugh, OWNER

Title

Owner

Phone

(785) 242-8882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003987272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 S MAIN ST STE C",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679555",
            "telephone_number": "785-242-8882",
            "fax_number": "785-242-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 S MAIN ST STE C",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679555",
            "telephone_number": "785-242-8882",
            "fax_number": "785-242-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONS MEMORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNBRUGH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-242-8882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A030002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Lybarger II
• Philip Marez
• Kurtis R Marozas, LSCSW
• Lorene Martins
• Mason'S Memory Durable Medical Equipment
• Julie Massengale, RN
• Larry J Matney, DC
• Adam L Maxwell, D.C.
• Delayne May, LCPC
• Regan McAlister

• Home Health Agency in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.