FSL Wayne NE Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FSL WAYNE NE TENANT LLC

Practice address

1500 Vintage Hill Dr
Wayne, NE 68787-1254

Phone

(402) 375-1500

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Leslie Crayton

Title

Project Manager

Phone

(417) 877-1717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1326669243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E INDEPENDENCE ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "telephone_number": "417-877-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 VINTAGE HILL DR",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871254",
            "telephone_number": "402-375-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL WAYNE NE TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "417-877-1717"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.