Organization Active NPI

Reflection Living, LLC

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1306038542
Registry record updated Aug 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
B087146 Issued in KS
Legal business name
REFLECTION LIVING, LLC
Practice address
1377 N Iroquois Rd
Wichita, KS 67203-4623
Phone
(316) 992-2119
Fax
(316) 440-4224
NPI assigned
Aug 12, 2007
Last updated
Aug 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2007

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

Authorized official

Name
Susan Kay Engels
Title
Owner/Operator
Phone
(316) 992-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X B087146 KS Primary

Addresses

Primary practice location

1377 N Iroquois Rd
Wichita, KS 67203-4623

Mailing address

522 S Stoney Point St
Wichita, KS 67209-3540
Phone (316) 992-2119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186876800000",
    "number": "1306038542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S STONEY POINT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672093540",
            "telephone_number": "316-992-2119",
            "fax_number": "316-440-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 N IROQUOIS RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034623",
            "telephone_number": "316-992-2119",
            "fax_number": "316-440-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-992-2119"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.