Hcp1Oc Alderbrook, LLC
Organization Active NPI Assisted Living Facility · Arkansas City, KS
NPI 1467857094 · NPPES record last updated Oct 24, 2014
Key facts
- NPI
- 1467857094
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- HCP1OC ALDERBROOK, LLC
- Practice address
- 402 E Windsor Rd
Arkansas City, KS 67005-3894 - Phone
- (620) 442-4400
- NPI assigned
- Oct 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Frank Marro
- Title
- Authorized Representative
- Phone
- (415) 789-1773
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2240475 | Alderbrook Village | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | KS | Yes |
Addresses
Primary practice location
402 E Windsor Rd
Arkansas City, KS 67005-3894
Mailing address
402 E Windsor Rd
Arkansas City, KS 67005-3894
Phone (620) 442-4400
Other names
- Alderbrook Village
Other providers in Arkansas City, KS
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- Rhonda Jean Green
- Joshua Ryan Gurnee
- Molly Beth Harris
- Trevor Scott Harris
- Heartland Orthotics & Prosthetics, Inc.
- Mauricio Castro Herrera
- Allison Hettenbach
- Jose L Hinojosa
- Brett Michael House
All providers in Arkansas City, 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 Oct 24, 2014. 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.