Anthem Overland Park Management, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

N046083 Issued in KS

Legal business name

ANTHEM OVERLAND PARK MANAGEMENT, LLC

Doing business as

Morningside Place

Practice address

6921 W 81St St
Overland Park, KS 66204-3913

Phone

(913) 901-8500

Fax

(913) 901-8505

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

AMC-OVERLAND PARK, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Howard J Turley, LNHA

Title

Executive Director

Phone

(913) 901-8500

Specialties & licenses 1

Addresses

Other names 1

• Morningside Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1306335328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 W 81ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043913",
            "telephone_number": "913-901-8500",
            "fax_number": "913-901-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 W 81ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043913",
            "telephone_number": "913-901-8500",
            "fax_number": "913-901-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM OVERLAND PARK MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC-OVERLAND PARK, LLC",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-901-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "N046083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Sue Annan, M.D.
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• Danielle Antes, RN, BSN, IBCLC
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• Mary Anthony
• Antioch Dental Inc
• Antioch Opco LLC (Antioch Valley Senior Living)

• Adult Care Home Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.