Tallgrass Creek, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

TALLGRASS CREEK, INC.

Doing business as

Tallgrass Creek Outpatient Rehabilitation Agency

Practice address

13800 Metcalf Ave
Attn: Rehabilitation Manager
Overland Park, KS 66223-1200

Phone

(913) 897-2700

Fax

(410) 204-7237

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By 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

James K Walter

Title

Finance Director

Phone

(410) 402-2315

Specialties & licenses 1

Addresses

Other names 1

• TALLGRASS CREEK OUTPATIENT REHABILITATION AGENCY Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457898652. Details of each certification follow.

• CCN 176575 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 176575

Legal name

TALLGRASS CREEK OUTPATIENT REHABILITATION AGENCY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 24, 2014

Last certification

Jun 24, 2014

Ownership / control type

VOLUNTARY NON PROFIT OTHER THAN CHURCH

Facility address

13800 Metcalf Ave
Overland Park, KS 66223

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tallgrass Creek, Inc.

  dba Continuing Care at Tallgrass Creek

  • Skilled Nursing Facility
  • Overland Park, KS
  • NPI 1740528025

  2163653759

  Same PAC ID

Tax ID family

Tallgrass Creek3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tallgrass Creek

  • Non-emergency Medical Transport (VAN)
  • Overland Park, KS
  • NPI 1730486143
  NPD tax ID
• Tallgrass Creek, Inc.

  dba Continuing Care at Tallgrass Creek

  • Skilled Nursing Facility
  • Overland Park, KS
  • NPI 1740528025
  NPD tax ID

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1457898652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 METCALF AVE",
            "address_2": "ATTN: EXECUTIVE DIRECTOR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231200",
            "telephone_number": "913-897-2700",
            "fax_number": "410-204-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 METCALF AVE",
            "address_2": "ATTN: REHABILITATION MANAGER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231200",
            "telephone_number": "913-897-2700",
            "fax_number": "410-204-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS CREEK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "410-402-2315"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TALLGRASS CREEK OUTPATIENT REHABILITATION AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Take Charge, Inc.
• Timothy C Talbert, M.D.
• Robert L Talley, MD
• Tallgrass Chiropractic Center, P.a.
• Tallgrass Creek
• Tallgrass Creek, Inc. (Continuing Care at Tallgrass Creek)
• Jessica Mae Tallman, D.C.
• Jennifer Talone, DPT
• Tak Pui Tam
• Druva Taman

• Rehabilitation Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Rehabilitation Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.