Jewell Health Care, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

N005003 Issued in KS

Legal business name

JEWELL HEALTH CARE, LLC

Doing business as

Cheyenne Meadows Living Center

Practice address

272 W Cheyenne St
Hoisington, KS 67544-1576

Phone

(620) 653-4141

Fax

(620) 653-4282

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By 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

Mr. John Larson, ATTORNEY

Title

Registered Agent

Phone

(816) 322-8113

Specialties & licenses 1

Addresses

Other names 1

• Cheyenne Meadows Living Center Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619185345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 STATE LINE RD # 372",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091254",
            "telephone_number": "816-322-8113",
            "fax_number": "816-322-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 W CHEYENNE ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441576",
            "telephone_number": "620-653-4141",
            "fax_number": "620-653-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWELL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "816-322-8113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "KS",
            "license": "N005003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheyenne Meadows Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifford Frink, ARNP
• Angela Sue Gonzalez
• Olinda A Harbaugh, DIETICIAN
• Kelly Dawn Heuer, RN, CDE
• Jewel Healthcare, LLC (Cheyenne Meadows Living Center)
• Kayla M Johnson, MD
• Derrick Kaiser, DC
• Nathaniel C Knackstedt, DO
• Leiker Smiles LLC
• Brandace A Lowe, PA-C

• Pediatric Skilled Nursing Facility in Hoisington, KS
• Providers in Hoisington, KS by specialty
• Pediatric Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.