GV-Op Coffeyville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GV-OP COFFEYVILLE LLC

Practice address

2904 W 8TH St
Coffeyville, KS 67337-2562

Phone

(620) 251-0214

NPI assigned

Mar 29, 2022

Last updated

Apr 22, 2022By 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

Mr. Scott L. Hines

Title

President/Ceo

Phone

(620) 709-0305

Specialties & licenses 1

Addresses

Tax ID family

GV-Op Coffeyville LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GV-Op Coffeyville LLC

  • Assisted Living Facility
  • Coffeyville, KS
  • NPI 1598409930
  NPD tax ID

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1982344065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673370509",
            "telephone_number": "620-988-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673372562",
            "telephone_number": "620-251-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GV-OP COFFEYVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "620-709-0305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Tania Gibson, M.D.
• Allen Dean Gillis, D.O.
• Linda S Grover, PTA
• Alexandra Anatolyia Grunewald, MD
• GV-Op Coffeyville LLC
• Heath Haffener, D.C.
• Stephen Mark Haley, RPH
• Denise Hall, DPH
• Chan S Han, MD
• Shelley Rene Harper

• Assisted Living Facility in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.