Humboldt Assisted Living, LLC
Organization Active NPI Home Health Agency · Humboldt, KS
NPI 1164546024 · NPPES record last updated Jun 12, 2015
Key facts
- NPI
- 1164546024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 100352910A (KS)
- Legal business name
- HUMBOLDT ASSISTED LIVING, LLC
- Practice address
- 615 Franklin St
Humboldt, KS 66748-1011 - Phone
- (620) 473-3456
- Fax
- (620) 473-2299
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Jean L Wilcox
- Title
- Management Company Representative
- Phone
- (402) 898-1079
National Provider Directory
Locations
615 Franklin St
Humboldt, KS 66748
Phone (620) 473-3456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 100352910A | KS | Yes |
Addresses
Primary practice location
615 Franklin St
Humboldt, KS 66748-1011
Mailing address
615 Franklin St
Humboldt, KS 66748-1011
Phone (620) 473-3456
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100352910A | Medicaid | KS |
Other names
- Arrowood Lane
Other providers in Humboldt, KS
- Elizabeth Garton
- Moriah Marie Haigler
- Mark E Harms
- Cody Haviland
- Headwind International, LTD
- James Eugene Jefferis
- Christina Leonard Seufert
- M. Sean McReynolds, DDS, LLC
- Michael Sean McReynolds
- Hunter Gage Murrow
All providers in Humboldt, KS · Home Health Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.