Priscilla C Nelson

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087145 Issued in KS

Legal business name

PRISCILLA C NELSON

Doing business as

Bethel House

Practice address

1316 N Charlotte
Wichita, KS 67208

Phone

(316) 440-4406

Fax

(316) 440-4407

NPI assigned

Apr 13, 2007

Last updated

Jul 24, 2008By 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

Mrs. Priscilla Christine Bacci

Title

Owner

Phone

(316) 371-6563

Specialties & licenses 1

Addresses

Other names 1

• Bethel House Doing business as

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1497979959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 TARA FALLS CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672076570",
            "telephone_number": "316-440-4406",
            "fax_number": "316-201-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N CHARLOTTE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-440-4406",
            "fax_number": "316-440-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA C NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BACCI",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-371-6563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.