Hillcrest House

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

N-056-008 Issued in KS

Legal business name

HILLCREST HOUSE

Practice address

2322 Hillcrest Dr
Emporia, KS 66801-6093

Phone

(620) 342-8601

Fax

(620) 342-8629

NPI assigned

Mar 9, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MULTI COMMUNITY DIVERSIFIED SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Colin McKenney

Title

Ceo

Phone

(620) 241-6693

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LMC Services Other name

Part of

Hillcrest House

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1437127024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 INDUSTRIAL DR",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674608128",
            "telephone_number": "620-241-6693",
            "fax_number": "620-241-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 HILLCREST DR",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016093",
            "telephone_number": "620-342-8601",
            "fax_number": "620-342-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULTI COMMUNITY DIVERSIFIED SERVICES, INC.",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-241-6693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "KS",
            "license": "N-056-008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108380D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108380I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMC Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Emporia, KS
• Providers in Emporia, KS by specialty
• Intellectual Disabilities Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.