K.J.,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N006004 Issued in KS

Legal business name

K.J.,INC

Practice address

736 Heylman St
Fort Scott, KS 66701-2433

Phone

(620) 223-3120

Fax

(620) 223-3884

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William R Fischer, LNHA

Title

Administrator/Ceo

Phone

(620) 223-3120

Specialties & licenses 1

Addresses

Other names 1

• Fort Scott Manor Doing business as

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770675571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667010831",
            "telephone_number": "620-223-3120",
            "fax_number": "620-223-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 HEYLMAN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012433",
            "telephone_number": "620-223-3120",
            "fax_number": "620-223-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.J.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "620-223-3120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N006004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Scott Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad R Jenkins, DDS
• Kinede Jennings
• JKM DME Inc
• Dale D Johnson, OTR
• K.J., Inc
• Kallos LLC
• Kannarr Eye Care LLC
• Kansas Renewal Institute
• Ricky Kellenberger, D.O
• Courtney Kelso

• All providers in Fort Scott, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.