Organization Active NPI

Marquis Place Assisted Living

  • Home Health Agency
  • Concordia, KS
National Provider Identifier
1336360825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARQUIS PLACE ASSISTED LIVING
Practice address
205 W 21St St
Concordia, KS 66901
Phone
(785) 243-2255
Fax
(785) 243-2409
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sonia S Derusseau, NURSING HOME ADM
Title
Executive Director
Phone
(785) 243-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

205 W 21St St
Concordia, KS 66901

Mailing address

205 W 21St St
Concordia, KS 66901
Phone (785) 243-2255

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0984308Marquis Place205 W 21St Street, Concordia, KS 66901Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

205 W 21st St
Concordia, KS 66901
Phone (785) 243-2255

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336360825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 21ST ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "66901",
            "telephone_number": "785-243-2255",
            "fax_number": "785-243-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 21ST ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "66901",
            "telephone_number": "785-243-2255",
            "fax_number": "785-243-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS PLACE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERUSSEAU",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-243-2255",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSING HOME ADM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

  • 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.