For Keepsake Adult Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

B087179 Issued in KS

Legal business name

FOR KEEPSAKE ADULT CARE HOME

Practice address

130 N Edgemoor St
Wichita, KS 67208-4417

Phone

(316) 260-0027

NPI assigned

Apr 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Rochelle Cade

Title

Ceo

Phone

(316) 390-0027

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301788800000",
    "number": "1083903777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084417",
            "telephone_number": "316-390-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084417",
            "telephone_number": "316-260-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR KEEPSAKE ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-03",
        "last_updated": "2011-04-03",
        "status": "A",
        "authorized_official_last_name": "CADE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-390-0027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "B087179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2011; 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.