Organization Active NPI

Mt Hope Community Development Inc

  • Skilled Nursing Facility
  • Mount Hope, KS
National Provider Identifier
1154319192
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N087014 Issued in KS
Legal business name
MT HOPE COMMUNITY DEVELOPMENT INC
Doing business as
Mt Hope Nursing Center
Practice address
704 E Main St
Mount Hope, KS 67108-9408
Phone
(316) 667-2431
Fax
(316) 661-2352
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Ms. Pat J Kissick, R.N.
Title
Administrator
Phone
(316) 667-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N087014 KS Primary

Addresses

Primary practice location

704 E Main St
Mount Hope, KS 67108-9408

Mailing address

704 E Main St
Mount Hope, KS 67108-9408
Phone (316) 667-2431

Other identifiers 1

IdentifierTypeStateIssuer
100109180AMedicaidKS

Other names 1

  • Mt Hope Nursing Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1154319192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E MAIN ST",
            "city": "MOUNT HOPE",
            "state": "KS",
            "postal_code": "671089408",
            "telephone_number": "316-667-2431",
            "fax_number": "316-661-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E MAIN ST",
            "city": "MOUNT HOPE",
            "state": "KS",
            "postal_code": "671089408",
            "telephone_number": "316-667-2431",
            "fax_number": "316-661-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOPE COMMUNITY DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "KISSICK",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-667-2431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Hope Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Hope, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.