Markleysburg Healthcare Investors, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N030004 Issued in KS

Legal business name

MARKLEYSBURG HEALTHCARE INVESTORS, L.P.

Practice address

304 W 7TH St
Wellsville, KS 66092-7800

Phone

(785) 883-4101

Fax

(785) 883-2200

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Douglas K Mittleider

Title

President

Phone

(770) 619-0866

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Wellsville Manor Care Center Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1720011901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 7TH ST",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660927800",
            "telephone_number": "785-883-4101",
            "fax_number": "785-883-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 7TH ST",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660927800",
            "telephone_number": "785-883-4101",
            "fax_number": "785-883-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLEYSBURG HEALTHCARE INVESTORS, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-619-0866"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N030004",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "GA",
            "license": "651",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042039101",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellsville Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Johnson
• KJG LLC
• Kelsey Nicole Lewis, APRN
• Madison Lopez, DC
• Teresa J Manes, OTR
• Ryan McHugh, B.S.
• Mystere Living & Healthcare Inc
• Mystere Living & Healthcare, Inc.
• Artis Perret
• Courtney Nicole Petz, MD

• All providers in Wellsville, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.