Active NPI
Home at Last
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Winfield, KS
National Provider Identifier
1063695369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 100389250-A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100389250-A | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI 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.