Active NPI
Anthony Kagua
- Assisted Living Facility
- Shawnee, KS
National Provider Identifier
1023760683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- B046060
- Practice address
- 11206 W 72ND Ter
Shawnee, KS 66203-4352 - Phone
- (617) 984-9477
- NPI assigned
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | B046060 | KS | Primary |
Addresses
Primary practice location
11206 W 72ND Ter
Shawnee, KS 66203-4352
Mailing address
11206 W 72ND Ter
Shawnee, KS 66203-4352
Phone (617) 984-9477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B046060 | KS | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Living | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Shawnee, KS
- NPI 1548917701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1023760683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11206 W 72ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662034352",
"telephone_number": "617-984-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11206 W 72ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662034352",
"telephone_number": "617-984-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGUA",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "KS",
"license": "B046060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.