NPIMap

Organization Active NPI

Residential Treatment Services of Southeast Kansas, LLC

  • In Home Supportive Care Agency
  • Parsons, KS
National Provider Identifier
1356900286
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RESIDENTIAL TREATMENT SERVICES OF SOUTHEAST KANSAS, LLC
Practice address
4919 Main St.
Parsons, KS 67357-1174
Phone
(620) 421-1155
Fax
(620) 421-1156
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Dr. Jamie Dawn King, PSY.D.
Title
Co-Owner/Director
Phone
(620) 421-1155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4919 Main St.
Parsons, KS 67357-1174

Mailing address

PO Box 1174
Parsons, KS 67357-1174
Phone (620) 421-1155

National Provider Directory

National Provider Directory
Tax ID family
Residential Treatment Services of Southeast Kansas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4919 Main St
Parsons, KS 67357
Phone (620) 421-1155

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1356900286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1174",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673571174",
            "telephone_number": "620-421-1155",
            "fax_number": "620-421-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 MAIN ST.",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673571174",
            "telephone_number": "620-421-1155",
            "fax_number": "620-421-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL TREATMENT SERVICES OF SOUTHEAST KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "620-421-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.