Active NPI
Prairie Ridge Health & Rehabilitation
- Skilled Nursing Facility
- Overland Park, KS
National Provider Identifier
1235836537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRAIRIE RIDGE HEALTH & REHABILITATION
- Practice address
- 6501 W 75TH St
Overland Park, KS 66204-3017 - Phone
- (913) 383-9866
- Fax
- (913) 393-1629
- NPI assigned
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin Jason Bryant
- Title
- Owner & Operator
- Phone
- (573) 836-4131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6501 W 75TH St
Overland Park, KS 66204-3017
Mailing address
6501 W 75TH St
Overland Park, KS 66204-3017
Phone (913) 383-9866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Leawood, KS
- NPI 1275526162
-
- Internal Medicine Physician
- Leawood, KS
- NPI 1578556478
-
- Geriatric Medicine (Family Medicine) Physician
- Harrisonville, MO
- NPI 1184691305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1235836537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 W 75TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043017",
"telephone_number": "913-383-9866",
"fax_number": "913-393-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 W 75TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662043017",
"telephone_number": "913-383-9866",
"fax_number": "913-393-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE RIDGE HEALTH & REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "OWNER & OPERATOR",
"authorized_official_telephone_number": "573-836-4131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.