Ottawa Retirement Plaza, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NO3006 Issued in KS

Legal business name

OTTAWA RETIREMENT PLAZA, INC.

Doing business as

Ottawa Plaza

Practice address

1042 W 15TH St
Ottawa, KS 66067-3951

Phone

(785) 242-1127

Fax

(785) 242-1536

NPI assigned

Sep 6, 2005

Last updated

Apr 19, 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

Kenneth F Raupach

Title

Coo

Phone

(513) 487-3600

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Ottawa Plaza Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephan Scott Corder, MD

  • General Practice Physician
  • Ottawa, KS
  • NPI 1174518526
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1710971858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 STRAIGHT ST",
            "address_2": "SUITE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191064",
            "telephone_number": "513-487-3600",
            "fax_number": "513-487-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 W 15TH ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673951",
            "telephone_number": "785-242-1127",
            "fax_number": "785-242-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTAWA RETIREMENT PLAZA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "RAUPACH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-487-3600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "NO3006",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "NO3006",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "NO3006",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "NO3006",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "KS",
            "license": "NO3006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT CARE HOME LICENSE",
            "identifier": "NO3006",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100019200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottawa Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yaw Nkansah Owusu-Ansah, PHARMD
• James Page, ATC

• Assisted Living Facility in Ottawa, KS
• Providers in Ottawa, 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 Apr 19, 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.