Mission Creek Camp & Retreat Center Inc

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

Legal business name

MISSION CREEK CAMP & RETREAT CENTER INC

Practice address

7240 SW Douglas Rd
Topeka, KS 66610-9728

Phone

(785) 256-6357

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Amber Miller

Title

Administrator

Phone

(785) 256-6357

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1336883883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 SW DOUGLAS RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109728",
            "telephone_number": "785-256-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 SW DOUGLAS RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666109728",
            "telephone_number": "785-256-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CREEK CAMP & RETREAT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-256-6357"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@missioncreekcamp.org",
            "affiliation": "N",
            "address_1": "7240 SW Douglas Rd",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666109728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alissa Renee Minger, RN
• Taurence C Minikwu Sr., LMAC, ADRP
• Minor Med PA
• Brian Minter
• Michelle Beth Mintzer, M.D.
• Mission Medical Group of Kansas, PA
• Mitch Cooper DDS PA
• Christopher R Mitchell
• Danielle Mitchell, APRN
• Hayley Mitchell

• Respite Care in Topeka, KS
• Providers in Topeka, KS by specialty
• Respite Care in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.