Southern Hospitality Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B046041 Issued in KS

Legal business name

SOUTHERN HOSPITALITY HOME

Practice address

20687 W 125TH CT
Olathe, KS 66061-7822

Phone

(913) 839-2827

Fax

(913) 839-2827

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Mary D Murry

Title

Owner Operator

Phone

(913) 839-2827

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1346576311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20687 W 125TH CT",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617822",
            "telephone_number": "913-839-2827",
            "fax_number": "913-839-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20687 W 125TH CT",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617822",
            "telephone_number": "913-839-2827",
            "fax_number": "913-839-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITALITY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "MURRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "913-839-2827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B046041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Olathe, KS
• Providers in Olathe, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.