Organization Active NPI

Trego Manor, Inc

  • Skilled Nursing Facility
  • Wakeeney, KS
National Provider Identifier
1356589899
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TREGO MANOR, INC
Practice address
320 South Ave
Wakeeney, KS 67672-2649
Phone
(785) 743-5787
Fax
(785) 743-5364
NPI assigned
Jan 21, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sandra K. Cline
Title
Administrator
Phone
(785) 743-5787

National Provider Directory

National Provider Directory

Locations

320 South Ave
#427
Wakeeney, KS 67672
Phone (785) 743-5787

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

320 South Ave
Wakeeney, KS 67672-2649

Mailing address

PO Box 427
Wakeeney, KS 67672-0427
Phone (785) 743-5787

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1042086501MedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2010.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1356589899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676720427",
            "telephone_number": "785-743-5787",
            "fax_number": "785-743-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SOUTH AVE",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676722649",
            "telephone_number": "785-743-5787",
            "fax_number": "785-743-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREGO MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-743-5787"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042086501",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.