RL Fountainwood 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B078031 Issued in KS

Legal business name

RL FOUNTAINWOOD 2

Practice address

2000 Fountainwood
Hutchinson, KS 67502-2662

Phone

(316) 992-2119

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By 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

Susie Engels

Title

Owner

Phone

(316) 992-2119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1881175966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNTAINWOOD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNTAINWOOD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022662",
            "telephone_number": "316-992-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL FOUNTAINWOOD 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-992-2119"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B078031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim R Ridder, OD
• Kinsley Riggs
• Molly A Rinehart, APRN
• Grant Dale Ringler, D.D.S.
• RL Fountainwood 1
• Kimberly Roberts-Mitchell, PAC
• Kelli Robinson, CRNA
• Teresa Robinson
• J Konrad Rock, DDS
• Derek Rockwell, PT,DPT

• Adult Care Home Facility in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.