Shawnee Gardens Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N046034 Issued in KS

Legal business name

SHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER, LLC

Practice address

6416 Long Street
Shawnee, KS 66216-2566

Phone

(913) 631-2146

Fax

(913) 631-0163

NPI assigned

Nov 16, 2005

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other names 1

• Shawnee Gardens Healthcare and Rehabilitation Center Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Summit Care, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1033441027
  NPPES parent name

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1720060759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 LONG STREET",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162566",
            "telephone_number": "913-631-2146",
            "fax_number": "913-631-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 LONG STREET",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162566",
            "telephone_number": "913-631-2146",
            "fax_number": "913-631-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE GARDENS HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-11-16",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N046034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawnee Gardens Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shawnee Oral Surgery, LC

• Skilled Nursing Facility in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.