Louisburg Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N061006 Issued in KS

Legal business name

LOUISBURG HEALTHCARE AND REHABILITATION CENTER, LLC

Practice address

1200 S. Broadway St.
Louisburg, KS 66053-3607

Phone

(913) 837-2916

Fax

(913) 837-5782

NPI assigned

Nov 16, 2005

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Louisburg Healthcare and Rehabilitation Center Doing business as

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Summit Care, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1033441027
  NPPES parent name

Locations

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1508848482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S. BROADWAY ST.",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660533607",
            "telephone_number": "913-837-2916",
            "fax_number": "913-837-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S. BROADWAY ST.",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660533607",
            "telephone_number": "913-837-2916",
            "fax_number": "913-837-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISBURG HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N061006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304720A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisburg Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kerry Donald McKeever, RPH
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• Mt Dentistry LLC

• All providers in Louisburg, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.