FSL McCook NE Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FSL MCCOOK NE TENANT LLC

Practice address

1500 E 11TH St
MC Cook, NE 69001-3489

Phone

(308) 345-2100

NPI assigned

May 1, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Crayton

Title

Project Manager

Phone

(417) 877-1717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1407477326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E INDEPENDENCE ST STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "telephone_number": "417-877-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 11TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013489",
            "telephone_number": "308-345-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL MCCOOK NE TENANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "417-877-1717"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in McCook, NE
• Providers in McCook, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.