Marjorie's Home, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

B087162 Issued in KS

Legal business name

MARJORIE'S HOME, LLC

Practice address

14601 E Timber Lake Rd
Wichita, KS 67230-9220

Phone

(316) 213-9816

Fax

(316) 977-8809

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Theresa Regier

Title

Owner

Phone

(316) 213-9816

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1992041610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 E TIMBER LAKE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309220",
            "telephone_number": "316-213-9816",
            "fax_number": "316-977-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 E TIMBER LAKE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672309220",
            "telephone_number": "316-213-9816",
            "fax_number": "316-977-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE'S HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "REGIER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-213-9816"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "B087162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200748940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.