The Legacy at Park View

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

N034001 Issued in KS

Legal business name

THE LEGACY AT PARK VIEW

Practice address

510 E San Jacinto Ave
Ulysses, KS 67880-2241

Phone

(620) 356-3331

Fax

(620) 356-1932

NPI assigned

Oct 3, 2005

Last updated

Oct 10, 2012By 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

Kimberle B Doty

Title

Administrator

Phone

(620) 356-3331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1679560932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E SAN JACINTO AVE",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802241",
            "telephone_number": "620-356-3331",
            "fax_number": "620-356-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E SAN JACINTO AVE",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802241",
            "telephone_number": "620-356-3331",
            "fax_number": "620-356-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY AT PARK VIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "KIMBERLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-356-3331"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N034001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Ulysses, KS
• Providers in Ulysses, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.