Bittersweet Homestead Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BITTERSWEET HOMESTEAD INC

Practice address

3181 Chautauqua Rd
Holton, KS 66436-8032

Phone

(785) 872-3719

Fax

(785) 872-3717

NPI assigned

Feb 1, 2007

Last updated

Oct 14, 2013By 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

Loretta J Hiatt

Title

Executive Director

Phone

(785) 872-3719

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1649317173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CHAUTAUQUA RD",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368032",
            "telephone_number": "785-872-3719",
            "fax_number": "785-872-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CHAUTAUQUA RD",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368032",
            "telephone_number": "785-872-3719",
            "fax_number": "785-872-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERSWEET HOMESTEAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-872-3719"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100406430A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Ashcraft, OT
• Alan D Bagby, RN/MICT
• Nicole Alejandra Bartel, LPC
• Keri A Bausch, LMSW
• Savanna R Cox Behymer, MD
• Brooke Black, PHARMD
• Steven Patrick Buck, D.C.
• Joni Lea Burgos
• Aaron Lee Cheney, D.C.
• Ronald Lee Cobb, DMIN LCAC

• Developmentally Disabled Services Day Training Agency in Holton, KS
• Providers in Holton, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.