Promise Skilled Nursing Facility of Overland Park, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK, INC.

Practice address

6505 W 103Rd St
Overland Park, KS 66212-1728

Phone

(913) 649-3701

NPI assigned

Dec 13, 2013

Last updated

Mar 1, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

PROMISE HEALTHCARE #2, INC.As reported in NPPES

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

Authorized official

Name

Mr. James Hopwood

Title

Cfo

Phone

(561) 869-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1013338268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 YAMATO RD",
            "address_2": "3RD FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314477",
            "telephone_number": "561-869-3100",
            "fax_number": "561-826-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 W 103RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121728",
            "telephone_number": "913-649-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMISE HEALTHCARE #2, INC.",
        "enumeration_date": "2013-12-13",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "HOPWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-869-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.