Serenity: Senior Retreat Housing

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

B096018 Issued in KS

Legal business name

SERENITY: SENIOR RETREAT HOUSING

Practice address

401 N Woodlawn St
Wellington, KS 67152-2857

Phone

(620) 326-3556

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Victoria Walcher

Title

Owner/Operator

Phone

(620) 326-3556

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Lee Bacon, LPN

  • Assisted Living Facility
  • Wellington, KS
  • NPI 1992821813
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1104179282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WOODLAWN ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WOODLAWN ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522857",
            "telephone_number": "620-326-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY: SENIOR RETREAT HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "WALCHER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "620-326-3556"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "B096018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Risley, CADACII
• Joshua Wayne Robertson, LMSW
• Nancy Arlene Roth
• Steven Richard Scheufler, MD
• Sheila Schroeder, LMSW
• Bal K Sharma, MD
• Sydney Nicole Shields, RN
• Andrew Lee Shimer, SLP-CCC
• Natalie Nichole Shirley
• Mellissa D Simko, P.A.

• Assisted Living Facility in Wellington, KS
• Providers in Wellington, 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 Oct 26, 2012; 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.