Organization Active NPI

The Sweet Life at Shawnee

  • Psychiatric Residential Treatment Facility
  • Shawnee, KS
National Provider Identifier
1992828362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
NO46053 Issued in KS
Legal business name
THE SWEET LIFE AT SHAWNEE
Practice address
11400 W 65TH St
Shawnee, KS 66203-5555
Phone
(913) 248-1500
Fax
(913) 248-0030
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stacey Johnson, RN
Title
Executive Director
Phone
(913) 248-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NO46053 KS Primary

Addresses

Primary practice location

11400 W 65TH St
Shawnee, KS 66203-5555

Mailing address

11400 W 65TH St
Shawnee, KS 66203-5555
Phone (913) 248-1500

National Provider Directory

National Provider Directory
Tax ID family
The Sweet Life at Shawnee4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992828362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662035555",
            "telephone_number": "913-248-1500",
            "fax_number": "913-248-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662035555",
            "telephone_number": "913-248-1500",
            "fax_number": "913-248-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SWEET LIFE AT SHAWNEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-248-1500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "NO46053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • 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.