Seniortrust of Sedgwick, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N040007 Issued in KS

Legal business name

SENIORTRUST OF SEDGWICK, LLC

Practice address

712 N Monroe Ave
Sedgwick, KS 67135-9492

Phone

(316) 772-5185

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Robert Webb

Title

President

Phone

(615) 893-2749

Specialties & licenses 1

Addresses

Tax ID family

Diversicare of Sedgwick2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diversicare of Sedgwick LLC

  • Skilled Nursing Facility
  • Sedgwick, KS
  • NPI 1932440708
  NPD tax ID

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013962927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N MONROE AVE",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "671359492",
            "telephone_number": "316-772-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N MONROE AVE",
            "city": "SEDGWICK",
            "state": "KS",
            "postal_code": "671359492",
            "telephone_number": "316-772-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORTRUST OF SEDGWICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-893-2749"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N040007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Medina, COTA/L
• Nancy B Odonnell, OTRL BC AC SF
• Brittney Ramsey
• Jordan Scott Scarlett, RDN, LDN
• Sedgwick Public Schools Usd 439
• Belinda Sharp, OTR/L
• Lorretta A Tackitt, RPT
• Rebecca L Whistler, CERTIFIED MIDWIFE

• Skilled Nursing Facility in Sedgwick, KS
• Providers in Sedgwick, 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 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.