Aspie Life Adventure LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hutchinson, KS
NPI 1396173183 · NPPES record last updated Oct 15, 2013
Key facts
- NPI
- 1396173183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ASPIE LIFE ADVENTURE LLC
- Practice address
- 912 W 18TH Ave
Hutchinson, KS 67502-4140 - Phone
- (620) 259-6171
- NPI assigned
- Oct 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Connie Lee Ankenman
- Title
- Owner
- Phone
- (620) 669-9863
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | KS | Yes |
Addresses
Primary practice location
912 W 18TH Ave
Hutchinson, KS 67502-4140
Mailing address
2002 E 35TH Ave
Hutchinson, KS 67502-1353
Phone (620) 669-9863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200970100A | Medicaid | KS |
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All providers in Hutchinson, KS · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.