Carrington Residential, LLC
Organization Active NPI Assisted Living Facility · Pittsburg, KS
NPI 1447207337 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1447207337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CARRINGTON RESIDENTIAL, LLC
- Practice address
- 1909 E 4TH St
Pittsburg, KS 66762-9100 - Phone
- (620) 235-1212
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- James Reiker
- Title
- Treasurer
- Phone
- (573) 471-1113
Practitioners 3
-
Richard Paul Hudson, D.P.M.
-
Sandra E Richardson, N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0915401 | Carrington Place | Certificate of waiver | May 27, 2028 |
National Provider Directory
Locations
1909 E 4th St
Pittsburg, KS 66762
Phone (620) 235-1212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1909 E 4TH St
Pittsburg, KS 66762-9100
Mailing address
1909 E 4TH St
Pittsburg, KS 66762-9100
Other names
- Carrington Place
Other providers in Pittsburg, KS
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- Michele Carey
- Caring Hands Hospice, LLC
- Mark D Carlson
- Philip D Carr
- Charrisa Castillo
- Diana E Cates
- Ryan Cedeno
- Century Surgical Associates, Inc
- Kari Chambers
All providers in Pittsburg, KS · Assisted Living 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.