Organization Active NPI

Miltonvale Manor , Inc.

  • Assisted Living Facility
  • Miltonvale, KS
National Provider Identifier
1033251962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MILTONVALE MANOR , INC.
Practice address
100 West Spruce
Miltonvale, KS 67466
Phone
(785) 427-2466
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dick Phelps
Title
President
Phone
(785) 427-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

100 West Spruce
Miltonvale, KS 67466

Mailing address

100 West Spruce
Miltonvale, KS 67466
Phone (785) 427-2466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033251962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST SPRUCE",
            "city": "MILTONVALE",
            "state": "KS",
            "postal_code": "67466",
            "telephone_number": "785-427-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST SPRUCE",
            "city": "MILTONVALE",
            "state": "KS",
            "postal_code": "67466",
            "telephone_number": "785-427-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTONVALE MANOR , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-427-2466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miltonvale, KS

Sources for this page

  • 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.