Columbia Health Facilities-Cambridge,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N-046-045 Issued in KS

Legal business name

COLUMBIA HEALTH FACILITIES-CAMBRIDGE,LLC

Practice address

12340 Quivira Rd
Overland Park, KS 66213-2408

Phone

(913) 851-0215

Fax

(913) 851-8675

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Joseph C Tutera

Title

Ceo/President

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STRATFORD COMMONS MEMORY CARE COMMUNITY Doing business as

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1255323283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132408",
            "telephone_number": "913-851-0215",
            "fax_number": "913-851-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132408",
            "telephone_number": "913-851-0215",
            "fax_number": "913-851-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA HEALTH FACILITIES-CAMBRIDGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N-046-045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRATFORD COMMONS MEMORY CARE COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Overland Park, KS
• Providers in Overland Park, 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 Sep 18, 2013; 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.