Meridian West - Chaucer LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N087048 Issued in KS

Legal business name

MERIDIAN WEST - CHAUCER LLC

Doing business as

Chaucer Estates

Practice address

10550 E 21St St N
Wichita, KS 67206-3509

Phone

(316) 630-8111

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MERIDIAN SENIOR LIVING LLCAs reported in NPPES

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

Authorized official

Name

Mr. Derek Alfred Wheeler

Title

Executive Director

Phone

(316) 630-8111

Specialties & licenses 1

Addresses

Other names 1

• Chaucer Estates Doing business as

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1710226147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063509",
            "telephone_number": "316-630-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063509",
            "telephone_number": "316-630-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WEST - CHAUCER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN SENIOR LIVING  LLC",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-630-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N087048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaucer Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa R Merck, RPT
• Mercy Home Healthcare Agency Corp
• Mercy Medical Clinic, PA
• Diala Merheb
• Meridian Nursing and Rehabilitation Center, LLC (Meridian Rehabilitation & Health Care Center)
• Lindy Michelle Merritt, LPC
• Rachel Skulkety Merritt, PA-C
• Diana Mershon, AAPS
• Natalie B. Merten, L.P.T.
• Andrew Reid Merwin, MD

• Assisted Living Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.