Johnsonville Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B105114 Issued in KS

Legal business name

JOHNSONVILLE HOME LLC

Practice address

2419 N 22ND St
Kansas City, KS 66104-4612

Phone

(913) 371-3995

Fax

(866) 372-9403

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany L Johnson

Title

Operator

Phone

(913) 371-3995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1952590168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 N 22ND ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661044612",
            "telephone_number": "913-371-3995",
            "fax_number": "866-372-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 N 22ND ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661044612",
            "telephone_number": "913-371-3995",
            "fax_number": "866-372-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONVILLE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "913-371-3995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B105114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Johnson, MD
• Tessa Marie Johnson, MD
• Tyler Dana Johnson, MD
• Tyler Michael Johnson, MD
• Zachary Phillip Johnson
• Mary K Johnston, SLP
• Alison Johnstone, MSN, ARNP
• Duncan B Johnstone, MD, PHD
• Carol J Jones-Crall, DDS
• Alicia Jones, APRN-BC

• Adult Care Home Facility in Kansas City, KS
• Providers in Kansas City, 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 Oct 24, 2007; 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.