Goodland Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N091002 Issued in KS

Legal business name

GOODLAND ASSISTED LIVING, LLC

Doing business as

Wheat Ridge Acres

Practice address

707 Wheat Ridge Cir
Goodland, KS 67735-2256

Phone

(785) 899-0100

Fax

(785) 899-0277

NPI assigned

Mar 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Kanen

Title

Cfo

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other names 1

• Wheat Ridge Acres 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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093776171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-589-2063",
            "fax_number": "719-589-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHEAT RIDGE CIR",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677352256",
            "telephone_number": "785-899-0100",
            "fax_number": "785-899-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-589-2063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N091002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheat Ridge Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jalyn Nicole Frewen, PHARMD
• Jessica Lynn Gittinger, APRN, FNP-C
• Gleason Chiropractic, P.a.
• Torrence Michelle Gleason, D.C.
• James Alexander Goode
• Goodland Dental Arts, P.a.
• Goodland Home Health,LLC
• Goodland Medical Arts Pharmacy LLC (Goodland Medical Arts Pharmacy)
• Goodland Regional Medical Center
• Goodland Regional Medical Center (Goodland Family Health Center)

• Assisted Living Facility in Goodland, KS
• Providers in Goodland, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.