Organization Active NPI

Golden Years Senior Care Home

  • Health Maintenance Organization
  • Hutchinson, KS
National Provider Identifier
1811107782
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
078014 Issued in KS
Legal business name
GOLDEN YEARS SENIOR CARE HOME
Practice address
414 E 1St Ave
Hutchinson, KS 67501-7112
Phone
(620) 662-8519
Fax
(620) 728-0150
NPI assigned
May 22, 2007
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ms. Lela Marie Jenks, OPERATOR
Title
Owner- Co Owner
Phone
(620) 662-8519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 078014 KS Primary

Addresses

Primary practice location

414 E 1St Ave
Hutchinson, KS 67501-7112

Mailing address

414 E 1St Ave
Hutchinson, KS 67501-7112
Phone (620) 662-8519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1811107782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017112",
            "telephone_number": "620-662-8519",
            "fax_number": "620-728-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017112",
            "telephone_number": "620-662-8519",
            "fax_number": "620-728-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SENIOR CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER-  CO OWNER",
        "authorized_official_telephone_number": "620-662-8519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPERATOR"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "KS",
            "license": "078014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.