Organization Active NPI

Kings Camp Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Goddard, KS
National Provider Identifier
1184628646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
251B00000X Issued in KS
Legal business name
KINGS CAMP INC
Practice address
24401 W Macarthur Rd
Goddard, KS 67052-8713
Phone
(316) 794-2913
Fax
(316) 794-2773
NPI assigned
Jun 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorothy May Paasch
Title
Office Manager
Phone
(316) 794-2913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 2084P0800X KS
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 251B00000X KS Primary

Addresses

Primary practice location

24401 W Macarthur Rd
Goddard, KS 67052-8713

Mailing address

PO Box 215
Goddard, KS 67052-0215
Phone (316) 794-2913

Other identifiers 1

IdentifierTypeStateIssuer
103575OtherKSBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Kings Achievement Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184628646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670520215",
            "telephone_number": "316-794-2913",
            "fax_number": "316-794-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 W MACARTHUR RD",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528713",
            "telephone_number": "316-794-2913",
            "fax_number": "316-794-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS CAMP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAASCH",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-794-2913",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "2084P0800X",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KS",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "103575",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goddard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.