Kingston Trilogy Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KINGSTON TRILOGY HOLDINGS LLC

Practice address

1822 N Brunswick St
Wichita, KS 67212-1588

Phone

(774) 361-4056

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Syreeta Bulgin

Title

Owner/Operator

Phone

(774) 361-4056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1407355720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N BRUNSWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121588",
            "telephone_number": "774-361-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N BRUNSWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121588",
            "telephone_number": "774-361-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON TRILOGY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "BULGIN",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "774-361-4056"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E. King, PHARMD, BCGP
• Maren Kingery, LMSW
• Brandon Kingrey
• David A Kingrey, M.D.
• Madelyn Kingsley, NP
• Kathryn Kinman
• Debra W. Kinnane, M.D.
• Holly Kinney
• Michael Kintz
• Gail Kinzer, LMSW

• Skilled Nursing Facility in Wichita, KS
• Providers in Wichita, 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 Feb 2, 2018; 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.