KPC Promise Skilled Nursing Facility of Overland Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KPC PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK LLC

Practice address

6505 W 103Rd St
Overland Park, KS 66212-1728

Phone

(913) 649-5110

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher B Geha, M.D.

  • Internal Medicine Physician
  • Leawood, KS
  • NPI 1578556478
  NPD (past)
• Kali P Chaudhuri, M.D.

  • Specialist
  • Hemet, CA
  • NPI 1538179437
  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1306400841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 350",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322754",
            "telephone_number": "561-869-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 W 103RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121728",
            "telephone_number": "913-649-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC PROMISE SKILLED NURSING FACILITY OF OVERLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavya Kothapalli C L
• Tyler Joseph Koupal, DDS
• Brandan Kovacs, MD
• Ian Thomas Kozlowski, MD
• KPC Promise Hospital of Overland Park LLC
• KR Trauma Services LLC
• Stephen Joseph Kracht, D.O,.
• Christine Marie Kraft, ARNP
• Vladimir Kramarovsky
• Jailyn Krantz

• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.