NPIMap

Organization Active NPI

Multi Community Diversified Services, Inc.

Doing business as South Maple House

  • Intellectual Disabilities Intermediate Care Facility
  • McPherson, KS
National Provider Identifier
1114995701
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
N-059-012 Issued in KS
Legal business name
MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Doing business as
South Maple House
Practice address
500 S Maple St
McPherson, KS 67460-5317
Phone
(620) 241-4473
NPI assigned
Mar 9, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Colin McKenney
Title
Ceo
Phone
(620) 241-6693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X N-059-012 KS Primary

Addresses

Primary practice location

500 S Maple St
McPherson, KS 67460-5317

Mailing address

2107 Industrial Dr
McPherson, KS 67460-8128
Phone (620) 241-6693

Other identifiers 1

IdentifierTypeStateIssuer
100108380GMedicaidKS

Other names 1

  • South Maple House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Multi Community Diversified Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114995701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 INDUSTRIAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674608128",
            "telephone_number": "620-241-6693",
            "fax_number": "620-241-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674605317",
            "telephone_number": "620-241-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI COMMUNITY DIVERSIFIED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-241-6693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "KS",
            "license": "N-059-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108380G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Maple House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.