Franklin Healthcare of Peabody, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

N057002 Issued in KS

Legal business name

FRANKLIN HEALTHCARE OF PEABODY, LLC

Doing business as

Westview Manor of Peabody

Practice address

500 Peabody Ave
Peabody, KS 66866-1206

Phone

(620) 983-2165

Fax

(620) 983-2364

NPI assigned

Nov 5, 2015

Last updated

Apr 3, 2017By 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

Doug Mittleider

Title

President of Managing Member

Phone

(470) 282-3268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westview Manor of Peabody Doing business as

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1972976439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ROYAL BLVD S",
            "address_2": "STE. 190",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224427",
            "telephone_number": "470-282-3268",
            "fax_number": "470-268-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PEABODY AVE",
            "city": "PEABODY",
            "state": "KS",
            "postal_code": "668661206",
            "telephone_number": "620-983-2165",
            "fax_number": "620-983-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN HEALTHCARE OF PEABODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MITTLEIDER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "470-282-3268"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N057002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542075301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westview Manor of Peabody",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Peabody, KS
• Providers in Peabody, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.