Organization Active NPI

Serenity House Wichita

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1871730069
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
B087161 Issued in KS
Legal business name
SERENITY HOUSE WICHITA
Practice address
2706 Fairmount St
Wichita, KS 67220-2413
Phone
(316) 461-7745
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Linda C Marlowe
Title
Adminstrator/Operator
Phone
(316) 461-7745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X B087161 KS Primary

Addresses

Primary practice location

2706 Fairmount St
Wichita, KS 67220-2413

Mailing address

2706 Fairmount St
Wichita, KS 67220-2413
Phone (316) 461-7745

Other identifiers 1

IdentifierTypeStateIssuer
B087161OtherKSSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1871730069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202413",
            "telephone_number": "316-461-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 FAIRMOUNT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202413",
            "telephone_number": "316-461-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE WICHITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "MARLOWE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINSTRATOR/OPERATOR",
        "authorized_official_telephone_number": "316-461-7745",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "B087161",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.