HMG Park Manor of Belleville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N079001 Issued in KS

Legal business name

HMG PARK MANOR OF BELLEVILLE, LLC

Doing business as

Belleville Health Care Center

Practice address

2626 Wesleyan Dr
Belleville, KS 66935-2440

Phone

(785) 527-5636

Fax

(785) 527-5419

NPI assigned

Jan 24, 2008

Last updated

Nov 4, 2019By 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

Mr. Laurence C. Daspit

Title

Ceo

Phone

(281) 419-5520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLEVILLE HEALTH CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1124205901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HUGHES LANDING BLVD STE 500",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804009",
            "telephone_number": "281-419-5520",
            "fax_number": "281-419-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 WESLEYAN DR",
            "city": "BELLEVILLE",
            "state": "KS",
            "postal_code": "669352440",
            "telephone_number": "785-527-5636",
            "fax_number": "785-527-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMG PARK MANOR OF BELLEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "DASPIT",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-419-5520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N079001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200557040B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLEVILLE HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELLEVILLE HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great Plains of Republic County, Inc. (Rep Co Hospital DME)
• Great Plains of Republic County, Inc. (Republic County Hosp - CRNA)
• Great Plains of Republic County, Inc. (Republic County Hospital Long Term Care)
• Kali Harvey
• Kimberly K Hernandez, SLP
• Blake Hoffman, O.D.
• Robert Edward Holt, M.D.
• Briana Jensen, APRN
• Michael J Keefer, O.D.
• Kurtis William Klecan, M.D.

• Skilled Nursing Facility in Belleville, KS
• Providers in Belleville, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.