Organization Active NPI

Bunyan Homes LLC

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1144568189
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
B087184 Issued in KS
Legal business name
BUNYAN HOMES LLC
Practice address
1425 N Stratford LN
Wichita, KS 67206-1139
Phone
(620) 408-6550
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Brandi BunyanNPI 1124307335
Title
Owner
Phone
(620) 408-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X B087184 KS Primary

Addresses

Primary practice location

1425 N Stratford LN
Wichita, KS 67206-1139

Mailing address

1425 N Stratford LN
Wichita, KS 67206-1139
Phone (620) 408-6550

Other identifiers 1

IdentifierTypeStateIssuer
200742810AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1144568189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N STRATFORD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061139",
            "telephone_number": "620-408-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N STRATFORD LN",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061139",
            "telephone_number": "620-408-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNYAN HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "BUNYAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-408-6550"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200742810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.