RL Maize CT 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B087188 Issued in KS

Legal business name

RL MAIZE CT 2

Practice address

625 S. Maize CT
Wichita, KS 67209-2207

Phone

(316) 992-2119

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 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

Mrs. Susan Kay Engels

Title

Owner/Operator

Phone

(316) 992-2119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1740552454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S. MAIZE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092207",
            "telephone_number": "316-992-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S. MAIZE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092207",
            "telephone_number": "316-992-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL MAIZE CT 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-992-2119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Rivers, OTR
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• Erica L Roach, APRN
• Patricia Ann Roach, ARNP
• Patrick Roach, M.D.

• Adult Care Home Facility in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Care Home Facility in Kansas

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