Organization Active NPI

Home at Last

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Winfield, KS
National Provider Identifier
1063695369
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
100389250-A Issued in KS
Legal business name
HOME AT LAST
Practice address
4303 Meadowbrook LN
Winfield, KS 67156-8823
Phone
(620) 221-4898
Fax
(620) 221-4393
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Cheryl Whiteman
Title
Director
Phone
(620) 221-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 100389250-A KS Primary

Addresses

Primary practice location

4303 Meadowbrook LN
Winfield, KS 67156-8823

Mailing address

4303 Meadowbrook LN
Winfield, KS 67156-8823
Phone (620) 221-4898

Other identifiers 1

IdentifierTypeStateIssuer
100389250-AMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1063695369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 MEADOWBROOK LN",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671568823",
            "telephone_number": "620-221-4898",
            "fax_number": "620-221-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 MEADOWBROOK LN",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671568823",
            "telephone_number": "620-221-4898",
            "fax_number": "620-221-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AT LAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-221-4898"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "100389250-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389250-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.