Organization Active NPI

Solomon Valley Village

  • Alzheimer Center (Dementia Center)
  • Beloit, KS
National Provider Identifier
1386026029
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
B062004 Issued in KS
Legal business name
SOLOMON VALLEY VILLAGE
Practice address
120 N Campbell Ave
Beloit, KS 67420-2426
Phone
(785) 534-1892
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Penny Lou Simpson, LPN
Title
Operator/Owner
Phone
(785) 224-0509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X B062004 KS Primary

Addresses

Primary practice location

120 N Campbell Ave
Beloit, KS 67420-2426

Mailing address

120 N Campbell Ave
Beloit, KS 67420-2426
Phone (785) 534-1892

National Provider Directory

National Provider Directory

Locations

120 N Campbell Ave
Beloit, KS 67420
Phone (785) 534-1892

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1386026029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N CAMPBELL AVE",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674202426",
            "telephone_number": "785-534-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CAMPBELL AVE",
            "city": "BELOIT",
            "state": "KS",
            "postal_code": "674202426",
            "telephone_number": "785-534-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON VALLEY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OPERATOR/OWNER",
        "authorized_official_telephone_number": "785-224-0509",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "KS",
            "license": "B062004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.