Delaware Highlands a.L. Services Provider

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N105014 Issued in KS

Legal business name

DELAWARE HIGHLANDS A.L. SERVICES PROVIDER

Practice address

12600 Delaware Pkwy
Kansas City, KS 66109-8509

Phone

(913) 721-1400

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Thomas W Stibal

Title

Ceo

Phone

(913) 279-3432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1235382961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 DELAWARE PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661098509",
            "telephone_number": "913-721-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 DELAWARE PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661098509",
            "telephone_number": "913-721-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE HIGHLANDS A.L. SERVICES PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "STIBAL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-279-3432"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N105014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Degraff, APRN CRNA
• John Degraffenreid, MD
• Arshan Dehbozorgi, MD
• Richard M. Deitz, MD
• Kristina Delaney, APRN
• Delaware Highlands Assisted Living
• Maritza Judy Delgado, LMSW
• Delores Homes
• Delores Homes - Home Health Agency
• Delores Homes, LLC

• Assisted Living Facility in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.