Active NPI
Ottawa Healthcare LLC
Doing business as Rock Creek of Ottawa
- Assisted Living Facility
- Ottawa, KS
National Provider Identifier
1689149619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OTTAWA HEALTHCARE LLC
- Doing business as
- Rock Creek of Ottawa
- Practice address
- 1100 W 15TH St
Ottawa, KS 66067-3953 - Phone
- (785) 242-5399
- NPI assigned
- Oct 5, 2018
- Last updated
- Jul 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Soon Burnam
- Title
- Treasurer
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1100 W 15TH St
Ottawa, KS 66067-3953
Mailing address
1100 W 15TH St
Ottawa, KS 66067-3953
Phone (785) 242-5399
Other names 1
- Rock Creek of Ottawa
National Provider Directory
National Provider Directory- Tax ID family
- Esolutions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1689149619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 15TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673953",
"telephone_number": "785-242-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 15TH ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673953",
"telephone_number": "785-242-5399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTAWA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-05",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "949-540-1249"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rock Creek of Ottawa",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rock Creek of Ottawa",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ottawa, KS
- Drew William Ott, PT, DPT
- Ottawa Anesthesia LLC
- Ottawa Chiropractic Clinic PA
- Ottawa Family Physicians, Chartered
- Ottawa Family Physicians, Chartered
- Ottawa Healthcare LLC (Rock Creek of Ottawa)
- Ottawa Medical Services, Inc. (Ottawa West)
- Ottawa Oral Surgery LC (Lawrence Oral and Maxillofacial Surgery LC)
- Ottawa Retirement Plaza, Inc. (Ottawa Plaza)
- Ottawa Retirement Village, Inc. (Ottawa Retirement Village)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.