Delaware Highlands Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N105014 Issued in KS

Legal business name

DELAWARE HIGHLANDS ASSISTED LIVING

Practice address

12600 Delaware Pkwy
Kansas City, KS 66109-3370

Phone

(913) 721-1400

Fax

(913) 400-7127

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Ketti Dawson, M.S., NHA

Title

Executive Director

Phone

(913) 721-1400

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

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336291152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 DELAWARE PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093370",
            "telephone_number": "913-721-1400",
            "fax_number": "913-400-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 DELAWARE PKWY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093370",
            "telephone_number": "913-721-1400",
            "fax_number": "913-400-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE HIGHLANDS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "KETTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-721-1400",
        "authorized_official_credential": "M.S., NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N105014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Degraffenreid, MD
• Arshan Dehbozorgi, MD
• Richard M. Deitz, MD
• Kristina Delaney, APRN
• Delaware Highlands a.L. Services Provider
• Maritza Judy Delgado, LMSW
• Delores Homes
• Delores Homes - Home Health Agency
• Delores Homes, LLC
• Andi Delozier, CNIM, REEGT

• Assisted Living Facility in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Assisted Living 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.
• 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.