Organization Active NPI

Centennial Homestead Inc.

  • Nursing Facility/Intermediate Care Facility
  • Washington, KS
National Provider Identifier
1679568091
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
A101004 Issued in KS
Legal business name
CENTENNIAL HOMESTEAD INC.
Practice address
311 E 2ND St
Washington, KS 66968-2028
Phone
(785) 325-2361
Fax
(785) 325-2870
NPI assigned
Sep 12, 2005
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Haely N Ordoyne
Title
Administrator/Owner/President
Phone
(785) 747-6790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X A101004 KS Primary

Addresses

Primary practice location

311 E 2ND St
Washington, KS 66968-2028

Mailing address

311 E 2ND St
Washington, KS 66968-2028
Phone (785) 325-2361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1679568091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 2ND ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682028",
            "telephone_number": "785-325-2361",
            "fax_number": "785-325-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 2ND ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682028",
            "telephone_number": "785-325-2361",
            "fax_number": "785-325-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HOMESTEAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "ORDOYNE",
        "authorized_official_first_name": "HAELY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "785-747-6790"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "A101004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.