Morton County SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MORTON COUNTY SNF OPCO LLC

Doing business as

Morton County Senior Living Community

Practice address

400 Buckmaster Drive
Elkhart, KS 67950

Phone

(303) 952-9216

NPI assigned

Jul 17, 2015

Last updated

Jul 17, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

MORTON COUNTY SNF HOLDCO LLCAs reported in NPPES

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

Authorized official

Name

Dean Kiklis

Title

Manager

Phone

(303) 952-9216

Specialties & licenses 1

Addresses

Other names 1

• MORTON COUNTY SENIOR LIVING COMMUNITY Doing business as

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1629452875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BUCKMASTER DRIVE",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "67950",
            "telephone_number": "620-697-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BUCKMASTER DRIVE",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "67950",
            "telephone_number": "303-952-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON COUNTY SNF OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORTON COUNTY SNF HOLDCO LLC",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "KIKLIS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-952-9216"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORTON COUNTY SENIOR LIVING COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morton County Hospital (Morton County Hospital LTC)
• Morton County Hospital
• Morton County Hospital (Keyes Medical Clinic)
• Morton County Hospital (Morton County Medical Clinic)
• Morton County SNF Opco LLC (Morton County Senior Living Community)
• Dominador T Perido Jr.
• Milagros Perido, PA C
• Satanta District Hospital and Long-Term Care
• Linell Tucker, DPT
• Usd 218 - Elkhart

• Skilled Nursing Facility in Elkhart, KS
• Providers in Elkhart, 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 Jul 17, 2015; 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.