Ukhs Great Bend, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UKHS GREAT BEND, LLC

Doing business as

Golden Belt Home Health
UKHS Great Bend St. Rose Pavilion

Practice address

3515 Broadway Ave Ste 214
Great Bend, KS 67530-3633

Phone

(620) 792-8171

Fax

(620) 792-3825

NPI assigned

Oct 29, 2018

Last updated

Oct 4, 2021By 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

Timothy Latimer

Title

Director of Finance/Controller

Phone

(620) 791-6815

Specialties & licenses 1

Addresses

Other names 2

• Golden Belt Home Health Doing business as
• UKHS Great Bend St. Rose Pavilion Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University of Kansas Hospital Authority

  dba Cambridge Retail Pharmacy

  • Community/Retail Pharmacy
  • Kansas City, KS
  • NPI 1700395878

  Member Of

  NPD member

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1275000291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE STE 214",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-8171",
            "fax_number": "620-792-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE STE 214",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-8171",
            "fax_number": "620-792-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKHS GREAT BEND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "LATIMER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/CONTROLLER",
        "authorized_official_telephone_number": "620-791-6815"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Belt Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UKHS Great Bend St. Rose Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ozoemenam Immanuel Uketui, MD
• Ukhs Great Bend LLC
• Ukhs Great Bend LLC (UKHS Great Bend Critical Access Hospital)
• Ukhs Great Bend, LLC
• Ukhs Great Bend, LLC
• Ukhs Great Bend, LLC (The University of Kansas Health System Great Bend Campus)
• Ukhs Great Bend, LLC (The University of Kansas Health System Great Bend Campus)
• Ukhs Great Bend, LLC (The University of Kansas Health System Great Bend Campus)
• Ukhs Great Bend, LLC (Golden Belt Hospice)
• Ukhs Great Bend, LLC

• Home Health Agency in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.