Cherryvale Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N063002 Issued in KS

Legal business name

CHERRYVALE CARE CENTER

Practice address

1001 W Main St
Cherryvale, KS 67335-1104

Phone

(620) 336-2102

Fax

(620) 336-2236

NPI assigned

Oct 3, 2005

Last updated

Aug 22, 2020By 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. Stephanie J. Bean

Title

A.I.T.

Phone

(620) 336-2102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851388037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "address_2": "P.O. BOX 366",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351104",
            "telephone_number": "620-336-2102",
            "fax_number": "620-336-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MAIN ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351104",
            "telephone_number": "620-336-2102",
            "fax_number": "620-336-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYVALE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "A.I.T.",
        "authorized_official_telephone_number": "620-336-2102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N063002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Austin, PTA
• Cherryvale Management, LLC (Cherryvale Nursing & Rehabilitation Center)
• City of Cherryvale
• Angela Dick
• Belle Dickens, CPTA
• Christopher Ray Douthit, M.A., ATC, LAT

• Skilled Nursing Facility in Cherryvale, KS
• Providers in Cherryvale, KS by specialty
• 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.