Lasting Life Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LASTING LIFE MINISTRIES

Practice address

2100 Broadway Ave
Great Bend, KS 67530-4024

Phone

(620) 282-4014

Fax

(620) 603-6476

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Kimberly Kay Becker

Title

Director

Phone

(620) 282-4014

Specialties & licenses 1

Addresses

Other names 1

• AGAPE, REVELATION ALCOHOL AND DRUG FAITH BASED SERVICES AT CENTRAL KAN Other name

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1477964849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304024",
            "telephone_number": "620-282-4014",
            "fax_number": "620-603-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304024",
            "telephone_number": "620-282-4014",
            "fax_number": "620-603-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING LIFE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-282-4014"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE, REVELATION ALCOHOL AND DRUG FAITH BASED SERVICES AT CENTRAL KAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Kristek, DPT
• Larry G Kutina, DDS
• L & L Training and Consulation
• Amanda Gail Lakin, APRN, PMHNP-BC
• Alaina Rae Lamatsch, DPT
• Kirstyn Brooke Latham
• Jayda Mariah Lauber
• Lawrence L. Trimmell, DDS
• Kelli D Legleiter, LSCSW
• Leiker Orthodontics LLC

• Community/Behavioral Health Agency in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.