Residence Begonia II at Crestview LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RESIDENCE BEGONIA II AT CRESTVIEW LLC

Practice address

15 Crestview Lakes Est
Wichita, KS 67220-2913

Phone

(316) 616-5306

Fax

(316) 201-6136

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Beatrice Tang DisasiNPI 1760900328

Title

Ceo

Phone

(316) 616-5306

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Beatrice Tang Disasi

  • Nursing Home Administrator
  • Wichita, KS
  • NPI 1760900328
  Authorized official Same address or phone

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1740840180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 E HARRY CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672074616",
            "telephone_number": "316-616-5306",
            "fax_number": "316-201-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRESTVIEW LAKES EST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202913",
            "telephone_number": "316-616-5306",
            "fax_number": "316-201-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCE BEGONIA II AT CRESTVIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "DISASI",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "TANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-616-5306"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KDADS",
            "identifier": "B087209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny Krisann Repp
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• Megan Elizabeth Resch, PHARM.D.
• Thomas Robert Resch, MD
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• 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 Jun 18, 2019; 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.