Protection Valley Manor, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NO172002 Issued in KS

Legal business name

PROTECTION VALLEY MANOR, INC.

Practice address

600 S. Broadway
Protection, KS 67127-8801

Phone

(620) 622-4261

Fax

(620) 622-4270

NPI assigned

Oct 26, 2006

Last updated

Nov 9, 2012By 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

Mr. Swede Clayton Swagerty, ACHA

Title

Administrator

Phone

(620) 622-4261

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Schowengerdt, M.D.

  • Family Medicine Physician
  • Coldwater, KS
  • NPI 1194727230
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1447335344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S. BROADWAY",
            "city": "PROTECTION",
            "state": "KS",
            "postal_code": "671278801",
            "telephone_number": "620-622-4261",
            "fax_number": "620-622-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S. BROADWAY",
            "city": "PROTECTION",
            "state": "KS",
            "postal_code": "671278801",
            "telephone_number": "620-622-4261",
            "fax_number": "620-622-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTECTION VALLEY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "SWAGERTY",
        "authorized_official_first_name": "SWEDE",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-622-4261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "NO172002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.