NPIMap

Organization Active NPI

Lightning Creek Investment Group, Inc

  • Assisted Living Facility
  • Pittsburg, KS
National Provider Identifier
1518091552
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
310400000X Issued in KS
Legal business name
LIGHTNING CREEK INVESTMENT GROUP, INC
Practice address
1910 E Centennial Dr
Pittsburg, KS 66762-8734
Phone
(620) 235-0522
Fax
(620) 235-0533
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mrs. Shelley Rae Gromer, LBSW
Title
Manager
Phone
(620) 235-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 310400000X KS Primary

Addresses

Primary practice location

1910 E Centennial Dr
Pittsburg, KS 66762-8734

Mailing address

1910 E Centennial Dr
Pittsburg, KS 66762-8734
Phone (620) 235-0522

National Provider Directory

National Provider Directory
Tax ID family
Lightning Creek Investment Groupinc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1910 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 235-0522

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1518091552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628734",
            "telephone_number": "620-235-0522",
            "fax_number": "620-235-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667628734",
            "telephone_number": "620-235-0522",
            "fax_number": "620-235-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTNING CREEK INVESTMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GROMER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "620-235-0522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.