Assisted Lifestyles of Blackhawk Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N-046-066 Issued in KS

Legal business name

ASSISTED LIFESTYLES OF BLACKHAWK INC.

Practice address

22550 S. Franklin
Spring Hill, KS 66083

Phone

(913) 592-5101

Fax

(913) 829-7975

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Gary Aull

Title

Owner

Phone

(913) 592-5101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063505683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22550 S. FRANKLIN",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "66083",
            "telephone_number": "913-592-5101",
            "fax_number": "913-829-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22550 S. FRANKLIN",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "66083",
            "telephone_number": "913-592-5101",
            "fax_number": "913-829-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIFESTYLES OF BLACKHAWK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AULL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-592-5101"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N-046-066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Conscious Peace LLC
• Acknowledge Case Management, LLC (Acm)
• Ahg Blackhawk, LLC (Assisted Lifestyles of Blackhawk)
• Jacquelyn Lea Allen, DO
• Allies Therapeutic Services
• Jill Bachtold, MS, CCC-SLP
• Dillon Barker
• David Beck
• Nathaniel W Beck, PHARMD
• Erin Michele Bennett, ED.S

• Assisted Living Facility in Spring Hill, KS
• Providers in Spring Hill, 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 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.