Beverly Enterprises - Kansas, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEVERLY ENTERPRISES - KANSAS, LLC

Doing business as

Tonganoxie Nursing Center

Practice address

1010 East St
Tonganoxie, KS 66086-9557

Phone

(913) 369-8705

NPI assigned

May 27, 2006

Last updated

Aug 22, 2020By 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

David G Merrell

Title

Vice President

Phone

(479) 201-4840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tonganoxie Nursing Center Doing business as

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992752729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EAST ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869557",
            "telephone_number": "913-369-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869557",
            "telephone_number": "913-369-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ENTERPRISES - KANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "479-201-4840"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041115301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tonganoxie Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Tonganoxie, KS
• Providers in Tonganoxie, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.