Reflection Living of Hidden Lakes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087155 Issued in KS

Legal business name

REFLECTION LIVING OF HIDDEN LAKES

Practice address

550 S Circle Lake Rd
Wichita, KS 67209-1005

Phone

(316) 992-2119

Fax

(316) 425-5531

NPI assigned

May 31, 2009

Last updated

Jun 1, 2009By 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

Mrs. Susan Kay Engels, RN

Title

Owner/Operator

Phone

(316) 992-2119

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1174759575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S CIRCLE LAKE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091005",
            "telephone_number": "316-992-2119",
            "fax_number": "316-425-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CIRCLE LAKE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091005",
            "telephone_number": "316-992-2119",
            "fax_number": "316-425-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION LIVING OF HIDDEN LAKES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-992-2119",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087155",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia M. Reeves, APRN, FNP-C
• Holly Jean Reeves, PTA
• Jessica Reeves, MA, CCC-SLP
• Matthew Reuben Reeves, DPT
• Julie Reffner, COTA
• Reflection Living, LLC
• Reflection Ridge Dental, LLC
• Reflection Therapy LLC
• Reflections Residential Care, LLC
• Regal Medical Supply, LLC

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.