Organization Active NPI

Gracious Senior Living, LLC

  • Nursing Facility/Intermediate Care Facility
  • Wichita, KS
National Provider Identifier
1669782231
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
B087171 Issued in KS
Legal business name
GRACIOUS SENIOR LIVING, LLC
Practice address
551 S. Holland
Wichita, KS 67209
Phone
(316) 771-7316
Fax
(316) 771-7319
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Christine Bacci
Title
Director of Operations
Phone
(316) 771-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X B087171 KS Primary

Addresses

Primary practice location

551 S. Holland
Wichita, KS 67209

Mailing address

3825 E. Harry
Wichita, KS 67218-3722
Phone (316) 771-7316

Other identifiers 1

IdentifierTypeStateIssuer
B087171OtherKSSTATE NURSING HOME LICENSE

National Provider Directory

National Provider Directory

Locations

3825 E Harry St
Wichita, KS 67218
Phone (316) 440-4820

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1669782231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 E. HARRY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183722",
            "telephone_number": "316-771-7316",
            "fax_number": "316-771-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S. HOLLAND",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67209",
            "telephone_number": "316-771-7316",
            "fax_number": "316-771-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "BACCI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "316-771-7316"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "B087171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING HOME LICENSE",
            "identifier": "B087171",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.