Mt Joseph Senior Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N015003 Issued in KS

Legal business name

MT JOSEPH SENIOR VILLAGE LLC

Practice address

1110 W 11TH St
Concordia, KS 66901-3902

Phone

(785) 243-1347

Fax

(785) 243-1907

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Janet G. Chapman

Title

Executive Director

Phone

(785) 243-1347

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia L Cleavenger, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salina, KS
  • NPI 1073715322
  NPD (past)
• Rhonda Schenk Pitts, A.R.N.P.

  • Family Nurse Practitioner
  • Hays, KS
  • NPI 1407918170
  NPD (past)
• Bal K Sharma, MD

  • Psychiatry Physician
  • Wellington, KS
  • NPI 1851352470
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1598863763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W 11TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013902",
            "telephone_number": "785-243-1347",
            "fax_number": "785-243-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 11TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669013902",
            "telephone_number": "785-243-1347",
            "fax_number": "785-243-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JOSEPH SENIOR VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-243-1347"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N015003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108560A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Ann Matheu, LMSW
• Matthew S. Kueker, DDS LLC
• Landon L McDill, CPTA
• Deann McMillan, OTA
• Michael Eugene Miller, OD
• Matthew R Myers, LSCSW, LMAC
• Occk, Inc.
• Helen Kay Peters, LMFT, LAC
• Myra Pfeifer, LMLP, LCP, LCAC
• Justin M. Poore, D.O.

• Skilled Nursing Facility in Concordia, KS
• Providers in Concordia, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.