Emerald Seniors LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

EMERALD SENIORS LLC

Doing business as

HEALTH CARE

Practice address

1226 S Byron Rd
Wichita, KS 67209-1812

Phone

(316) 258-1883

Fax

(316) 869-1200

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Audra M Crouse, RN

Title

Operator

Phone

(316) 258-1883

Specialties & licenses 1

Addresses

Other names 1

• HEALTH CARE Doing business as

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1386016095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S BYRON RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091812",
            "telephone_number": "316-258-1883",
            "fax_number": "316-869-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 S BYRON RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672091812",
            "telephone_number": "316-258-1883",
            "fax_number": "316-869-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "316-258-1883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Janelle D Emerson, OT

• Nursing Facility/Intermediate Care Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.