Jewel Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N056002 Issued in KS

Legal business name

JEWEL HEALTHCARE, LLC

Practice address

221 W Logan Ave
Emporia, KS 66801-4661

Phone

(620) 342-4212

Fax

(620) 342-6523

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Larson, ATTORNEY

Title

Registered Agent

Phone

(816) 322-8113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emporia Rehabilitation Center Doing business as

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386853794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 STATE LINE RD # 372",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091254",
            "telephone_number": "816-322-8113",
            "fax_number": "816-322-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LOGAN AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014661",
            "telephone_number": "620-342-4212",
            "fax_number": "620-342-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWEL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "816-322-8113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N056002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0000000938",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emporia Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy J Jansen, MD
• Ryan Elizabeth Jantsch, PA STUDENT
• Amanda Janzen, IBCLC
• Jeffrey W. Watson, D.P.M.
• Jewel Healthcare, LLC
• John C. Patton, DDS Chartered
• Amy K Johnson, LMSW
• Lisa Lynn Johnson, APRN
• Juli K Jones, DC
• Sky Ce Jones

• Skilled Nursing Facility in Emporia, KS
• Providers in Emporia, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.