Kismet SPL - a, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0025 Issued in IA

Legal business name

KISMET SPL - A, LLC

Doing business as

WEL-Life at Spirit Lake

Practice address

1819 23Rd St
Spirit Lake, IA 51360-7096

Phone

(712) 336-3553

Fax

(712) 336-5717

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Michael L. Moore

Title

Chief Financial Officer

Phone

(605) 642-7736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WEL-Life at Spirit Lake Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1063870152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 23RD ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607096",
            "telephone_number": "712-336-3553",
            "fax_number": "712-336-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 23RD ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607096",
            "telephone_number": "712-336-3553",
            "fax_number": "712-336-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET SPL - A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404033",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEL-Life at Spirit Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Thomas Kalkhoff, MD
• Thomas F Kalkhoff, D.O.
• Sherri Lynne Kerr
• Amanda M Kirchner
• Kris Kirchner, PHARM.D
• Abigail Knapp, PHARMD
• Shaylen Riley Knapp
• William Jackson Knoer, ARNP
• Chandler Koehler
• Brenda Kraft, CRNA

• Assisted Living Facility in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.