RL Fountainwood 1

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B040002 Issued in KS

Legal business name

RL FOUNTAINWOOD 1

Practice address

2004 Fountainwood
Hutchinson, KS 67502-2662

Phone

(620) 259-8033

Fax

(620) 259-8043

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Susie Engels, RN

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1982063772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FOUNTAINWOOD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022662",
            "telephone_number": "620-259-8033",
            "fax_number": "620-259-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FOUNTAINWOOD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022662",
            "telephone_number": "620-259-8033",
            "fax_number": "620-259-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL FOUNTAINWOOD 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "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",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B040002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina C Ridder, OD
• Tim R Ridder, OD
• Kinsley Riggs
• Molly A Rinehart, APRN
• Grant Dale Ringler, D.D.S.
• RL Fountainwood 2
• Kimberly Roberts-Mitchell, PAC
• Kelli Robinson, CRNA
• Teresa Robinson
• J Konrad Rock, DDS

• 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 Feb 22, 2016; 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.