Eaglecrest LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N085012 Issued in KS

Legal business name

EAGLECREST LLC

Doing business as

Eaglecrest Retirement Community

Practice address

1501 E Magnolia Rd
Salina, KS 67401-9112

Phone

(785) 309-1501

Fax

(785) 309-1502

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Sue O'Gorman, M.B.A.

Title

Executive Director

Phone

(785) 309-1501

Specialties & licenses 1

Addresses

Other names 1

• Eaglecrest Retirement Community Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417002429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E MAGNOLIA RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674019112",
            "telephone_number": "785-309-1501",
            "fax_number": "785-309-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MAGNOLIA RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674019112",
            "telephone_number": "785-309-1501",
            "fax_number": "785-309-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLECREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-309-1501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N085012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eaglecrest Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David M Dupy, M.D.
• Cori Jo Durall, PHARMD.
• Leslie F. Durst, P.T.
• Ryan Dye
• Jorrie Dykes, MD
• Earcare of Salina, Inc.
• Marcy Renee Easter, OTR
• Heather Ebert
• Katy Conway Ebert, O.D.
• Jessica Marie Eckels, LMAC

• Assisted Living Facility in Salina, KS
• Providers in Salina, KS by specialty
• Assisted Living 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.