Active NPI
Life Patterns
- Child Intellectual and/or Developmental Disabilities Respite Care
- Topeka, KS
National Provider Identifier
1831363324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- LIFE PATTERNS
- Practice address
- 3625 SW 29TH St
Suite 202
Topeka, KS 66614-2061 - Phone
- (785) 273-7189
- Fax
- (785) 273-3816
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas P Gerdel
- Title
- Executive Director
- Phone
- (785) 273-7189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
3625 SW 29TH St
Suite 202
Topeka, KS 66614-2061
Mailing address
3625 SW 29TH St
Suite 202
Topeka, KS 66614-2061
Phone (785) 273-7189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100033260B | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1831363324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 SW 29TH ST",
"address_2": "SUITE 202",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142061",
"telephone_number": "785-273-7189",
"fax_number": "785-273-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 SW 29TH ST",
"address_2": "SUITE 202",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666142061",
"telephone_number": "785-273-7189",
"fax_number": "785-273-3816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE PATTERNS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "GERDEL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "785-273-7189",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100033260B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.