Healthcare of Witchita, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087018 Issued in KS

Legal business name

HEALTHCARE OF WITCHITA, LLC

Doing business as

College Hills Health & Rehabilitation

Practice address

5005 E 21St St N
Wichita, KS 67208-1604

Phone

(316) 685-9291

Fax

(316) 685-2099

NPI assigned

Jul 27, 2006

Last updated

Aug 1, 2008By 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

Thomas D Johnson

Title

President

Phone

(316) 685-9291

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• College Hills Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1316961097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081604",
            "telephone_number": "316-685-9291",
            "fax_number": "316-685-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081604",
            "telephone_number": "316-685-9291",
            "fax_number": "316-685-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE OF WITCHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-685-9291"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041150401",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Hills Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Wichita, KS
• Providers in Wichita, 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 Aug 1, 2008; 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.