Active NPI
Trego Manor, Inc
- Skilled Nursing Facility
- Wakeeney, KS
National Provider Identifier
1356589899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 DirectoryLocations
320 South Ave
#427
Wakeeney, KS 67672
Phone (785) 743-5787
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042086501 | Medicaid | KS |
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.