THE LEGACY AT PARK VIEW (NPI# 1679560932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679560932 |
| Entity Type | Organization |
| Organization Name | THE LEGACY AT PARK VIEW |
| Practice Address |
510 E San Jacinto Ave Ulysses KS 67880-2241 |
| Practice Telephone | 6203563331 |
| Practice Fax Number | 6203561932 |
| Mailing Telephone | 6203563331 |
| Mailing Fax Number | 6203561932 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | KIMBERLE B DOTY (ADMINISTRATOR) |
| Authorized Official Telephone | 6203563331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N034001 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100108710-B | 05 |
| Street Address |
510 E SAN JACINTO AVE |
| City | ULYSSES |
| State | KS |
| Zip Code | 67880-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358959 | Western Prairie Nursing Facility Operations LLC | Skilled Nursing Facility | 510 E San Jacinto Ave, Ulysses, KS 67880 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130852 | Western Prairie Assisted Living Operations LLC | Assisted Living Facility | 750 N Missouri St, Ulysses, KS 67880 | 2018-07-18 |
| 1013240613 | Unified School District #214 | Local Education Agency (LEA) | 111 S Baughman St, Ulysses, KS 67880 | 2009-09-14 |
| 1265482467 | Bob Wilson Memorial Grant County Hospital | General Acute Care Hospital | 415 N Main, Ulysses, KS 67880 | 2006-05-11 |
| 1710422795 | St Catherine Hospital | Family Medicine | 505 N Main St, Ulysses, KS 67880 | 2016-12-29 |
| 1477902898 | Ashley Johnson | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2016-06-07 |
| 1366851313 | Nora Patricia Elizalde | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2014-08-04 |
| 1255648036 | Prairie Vista Dental, LLC | Dentist | 209 W Central Ave, Uysses, KS 67880 | 2010-09-01 |
| 1801824123 | Bob Wilson Memorial Grant County Hospital | Medicare Defined Swing Bed Unit | 415 N Main, Ulysses, KS 67880 | 2006-06-28 |
| 1669441523 | County of Grant | Ambulance | 320 E Oklahoma Ave, Ulysses, KS 67880-0514 | 2006-03-14 |
| 1891711297 | Critical Care Transfer, Inc | Ambulance | 925 N Wilson St, Ulysses, KS 67880-1655 | 2006-07-15 |
| Find all providers in zip 67880 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.