Senior Living Capital Group

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR LIVING CAPITAL GROUP

Practice address

2120 N 13TH St
Independence, KS 67301-2174

Phone

(620) 331-1400

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Baze, LPN

Title

Regional Manager

Phone

(620) 786-2085

Specialties & licenses 1

Addresses

Other names 1

• Credo Senior Living LLC Doing business as

Locations

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1871373373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 N CENTRAL EXPY STE 1080",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N 13TH ST",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673012174",
            "telephone_number": "620-331-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING CAPITAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "BAZE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "620-786-2085",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Credo Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Schultz
• Barbara Scofield
• Barbara Scott
• Jackie L Scott, LPC-S, LCPC-S
• Hayden Mikel Danielle Seifert, PTA
• Melinda Anne Shaver, PSY.D.
• Cynthia E Sherwood
• Sandra Shire
• Emily Simpson, LMSW
• Christina Slaton, PHARMD

• Assisted Living Facility in Independence, KS
• Providers in Independence, 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 Oct 2, 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.