MYSTERE LIVING & HEALTHCARE INC (NPI# 1942750989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942750989 |
| Entity Type | Organization |
| Organization Name | MYSTERE LIVING & HEALTHCARE INC |
| Other Organization Name | WELLSVILLE ASSISTED LIVING |
| Practice Address |
304 W 7th St Wellsville KS 66092-7800 |
| Practice Telephone | 7858834101 |
| Practice Fax Number | 8669369557 |
| Mailing Telephone | 7858834101 |
| Mailing Fax Number | 8669369557 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | SCOTT G AVERILL (CEO / OWNER) |
| Authorized Official Telephone | 7852243453 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Wellsville Assisted Living | Doing Business As Name - Organization |
| Street Address |
304 W 7TH ST |
| City | WELLSVILLE |
| State | KS |
| Zip Code | 66092-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011901 | Markleysburg Healthcare Investors, L.p. | Durable Medical Equipment & Medical Supplies | 304 W 7th St, Wellsville, KS 66092-7800 | 2006-07-09 |
| 1376890491 | Wellsville Retirement Community | Skilled Nursing Facility | 304 W 7th St, Wellsville, KS 66092-7800 | 2012-08-08 |
| 1407098932 | Lisa A Burton | Occupational Therapy Assistant | 304 W 7th St, Wellsville, KS 66092-7800 | 2009-03-30 |
| 1538304522 | Teresa J Manes | Occupational Therapist | 304 W 7th St, Wellsville, KS 66092-7800 | 2008-12-05 |
| 1922252022 | Brenda K Box | Physical Therapy Assistant | 304 W 7th St, Wellsville, KS 66092-7800 | 2008-11-17 |
| 1851569818 | Mystere Living & Healthcare, Inc. | Skilled Nursing Facility | 304 W 7th St, Wellsville, KS 66092-7800 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609080092 | Michael J Runyon | Social Worker | 626 Maple St, Wellsville, KS 66092 | 2007-05-09 |
| 1609960855 | Jason Clint Walrod | Chiropractor | 1012 Poplar Street, Wellville, KS 66092 | 2006-10-03 |
| 1851548309 | Kristina Jeanne Gibbons | Chiropractor | 430 Main, Wellsville, KS 66092-0726 | 2008-08-26 |
| 1013396209 | Kjg LLC | Chiropractor | 430 Main St, Wellsville, KS 66092-0726 | 2015-05-21 |
| 1912130154 | Wellsville Usd 289 | Local Education Agency (LEA) | 602 Walnut St, Wellsville, KS 66092-8323 | 2009-09-03 |
| 1922550532 | Artis Perret | Nurse Practitioner | 4545 Reese Dr, Wellsville, KS 66092-8612 | 2016-10-30 |
| 1124475157 | Marisa Donovan | Behavioral Analyst | 4558 Reese Dr, Wellsville, KS 66092-8612 | 2016-05-19 |
| 1508349937 | Wellsville Family Dental, P.a. | Dentist | 501 Main St, Wellsville, KS 66092-8724 | 2018-09-11 |
| 1083749527 | Gary Robert Raccuglia | Dentist | 501 Main St, Wellsville, KS 66092-8724 | 2007-02-23 |
| 1023443447 | Wellsville Chiropractic LLC | Chiropractor | 711 Main St, Wellsville, KS 66092-8725 | 2013-09-04 |
| Find all providers in zip 66092 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1306444294 | Rl Kansas City 1, LLC | Assisted Living Facility | 7170 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1750908091 | Agape Home Plus LLC | Assisted Living Facility | 6322 Peach Tree Ln, Wichita, KS 67218-1820 | 2020-07-02 |
| 1508490822 | American Vision Seasons Msp Overland Park LLC | Assisted Living Facility | 12701 Pflumm Rd, Overland Park, KS 66213-2317 | 2020-02-25 |
| 1841823473 | Willow | Assisted Living Facility | 2125 Highway 36, Wathena, KS 66090-4126 | 2020-02-21 |
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1053966572 | United Methodist Homes, Inc. | Assisted Living Facility | 7200 Sw Uxbridge Cir, Topeka, KS 66614-6095 | 2019-08-02 |
| 1598317588 | The Mapleton Andover LLC | Assisted Living Facility | 1419 W Central Ave, Andover, KS 67002-7202 | 2019-07-10 |
| 1386204881 | Committed Care | Assisted Living Facility | 508 Union St, Oskaloosa, KS 66066 | 2019-06-17 |
| Find all providers with the same taxonomy | ||||
| City | WELLSVILLE |
| Zip Code | 66092 |
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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.