Deer Park Senior Group Home Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

B044001 Issued in KS

Legal business name

DEER PARK SENIOR GROUP HOME INC.

Practice address

6313 Hwy K4
Meriden, KS 66512

Phone

(785) 484-0100

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Robert Linton

Title

Owner

Phone

(785) 484-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306965058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 HWY K4",
            "city": "MERIDEN",
            "state": "KS",
            "postal_code": "66512",
            "telephone_number": "785-484-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 HWY K4",
            "city": "MERIDEN",
            "state": "KS",
            "postal_code": "66512",
            "telephone_number": "785-484-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK SENIOR GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-484-0100"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "KS",
            "license": "B044001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BBF Pharmacy Inc
• Andrea R Beaman, APRN
• April K Boatwright
• Deer Park Senior Group Homes LLC
• Faith Counseling & Wellness Center
• Molly Ann Freeman, FNP-BC
• FW Huston Pharmacy of Meriden
• Kayla Renee Gardner, LMSW

• Custodial Care Facility in Meriden, KS
• Providers in Meriden, KS by specialty
• Custodial Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.