Fairview Estates Retirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N097003 Issued in KS

Legal business name

FAIRVIEW ESTATES RETIREMENT COMMUNITY

Practice address

1630 Sewell Ave
Colby, KS 67701

Phone

(785) 462-2154

Fax

(785) 460-0226

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Lee Stewart

Title

Operator

Phone

(785) 462-2154

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1023343563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SEWELL AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013735",
            "telephone_number": "785-462-2154",
            "fax_number": "785-460-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SEWELL AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "67701",
            "telephone_number": "785-462-2154",
            "fax_number": "785-460-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW ESTATES RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "785-462-2154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N097003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - ADULT CARE HOME LICENSE",
            "identifier": "N097003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen L Dunford, DO
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• Patricia Ann Erickson, DPT
• Robert Lee Erwin Jr., CRNA
• Luetta M Flanagin, ARNP
• Mallory A Forsyth, MD
• James Foster, PTA
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• Shane M Franz, D.C.

• Assisted Living Facility in Colby, KS
• Providers in Colby, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.