Organization Active NPI

HCC-Healthcare Properties of Kansas, LLC

Doing business as Great Bend Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Great Bend, KS
National Provider Identifier
1083105340
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HCC-HEALTHCARE PROPERTIES OF KANSAS, LLC
Doing business as
Great Bend Health & Rehabilitation Center
Practice address
1560 K 96 Hwy
Great Bend, KS 67530-3012
Phone
(620) 792-2448
NPI assigned
May 22, 2018
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Doug Mittleider
Title
President of Managing Member
Phone
(470) 282-3268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X KS Primary

Addresses

Primary practice location

1560 K 96 Hwy
Great Bend, KS 67530-3012

Mailing address

5174 McGinnis Ferry Rd Ste 126
Alpharetta, GA 30005-1792

Other names 1

  • Great Bend Health & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1083105340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MCGINNIS FERRY RD STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 K 96 HWY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303012",
            "telephone_number": "620-792-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC-HEALTHCARE PROPERTIES OF KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "470-282-3268"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Bend Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.