Organization Active NPI

Georgetown by Axiom LLC

  • Assisted Living Facility
  • Wichita, KS
National Provider Identifier
1063339836
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GEORGETOWN BY AXIOM LLC
Practice address
1655 S Georgetown St
Wichita, KS 67218-4111
Phone
(316) 685-0400
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Brenda Kruse
Title
Cfo
Phone
(316) 500-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1655 S Georgetown St
Wichita, KS 67218-4111

Mailing address

10300 W Maple St
Wichita, KS 67209-3135
Phone (316) 500-7930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1063339836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093135",
            "telephone_number": "316-500-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 S GEORGETOWN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672184111",
            "telephone_number": "316-685-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN BY AXIOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-500-7930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.