Organization Active NPI

KC Companies of Worthington, Inc

  • Assisted Living Facility
  • Worthington, MN
National Provider Identifier
1699900183
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
341121 Issued in MN
Legal business name
KC COMPANIES OF WORTHINGTON, INC
Practice address
1790 Collegeway
Worthington, MN 56187-3113
Phone
(507) 376-3111
Fax
(507) 376-3311
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Kent Marthaler
Title
President
Phone
(320) 217-2640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 340040 MN
Assisted Living Facility 310400000X 341121 MN Primary

Addresses

Primary practice location

1790 Collegeway
Worthington, MN 56187-3113

Mailing address

1790 Collegeway
Worthington, MN 56187-3113
Phone (507) 376-3111

Other names 1

  • Golden Horizons of Worthington Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1699900183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 COLLEGEWAY",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561873113",
            "telephone_number": "507-376-3111",
            "fax_number": "507-376-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 COLLEGEWAY",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561873113",
            "telephone_number": "507-376-3111",
            "fax_number": "507-376-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMPANIES OF WORTHINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTHALER",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-217-2640"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "340040",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "341121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Horizons of Worthington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.