LONGFELLOW CORNERS ASSISTED LIVING CENTER (NPI# 1982750717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982750717 |
| Entity Type | Organization |
| Organization Name | LONGFELLOW CORNERS ASSISTED LIVING CENTER |
| Practice Address |
420 24th Street Wilson KS 67490-0551 |
| Mailing Address |
Po Box 551 Wilson KS 67490-0551 |
| Practice Telephone | 7856583315 |
| Practice Fax Number | 7856583317 |
| Mailing Telephone | 7856583315 |
| Mailing Fax Number | 7856583317 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. STEPHANIE BLOESSER (OPERATOR) |
| Authorized Official Telephone | 7856583315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N027007 | KS | Nursing & Custodial Care Facilities |
| Street Address |
420 24TH STREET |
| City | WILSON |
| State | KS |
| Zip Code | 67490-0551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426368 | Janet Warkentine | Registered Nurse | 811 29th Street, Wilson, KS 67490 | 2020-01-13 |
| 1215937263 | Ellsworth County Medical Center | Family Medicine | 2509 Avenue E, Wilson, KS 67490 | 2005-07-29 |
| 1235139205 | Ecmc Rural Health Clinic Wmc | Family Medicine | 409 27th St, Wilson, KS 67490-4016 | 2005-07-29 |
| 1295849511 | Belinda Renae Kasper | Dietitian, Registered | 136 8th Rd, Wilson, KS 67490-8717 | 2006-08-17 |
| 1508817792 | Ggnsc Wilson LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2006-05-13 |
| 1518516517 | Wilson Operator, LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2019-09-11 |
| 1740725159 | Catherine Hunt | Occupational Therapist | 611 31st St, Wilson, KS 67490-8740 | 2016-12-21 |
| 1306393186 | Wilson Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 611 31st St, Wilson, KS 67490-8740 | 2016-09-08 |
| 1558626465 | Crystal Ponds | Occupational Therapist | 611 31st St, Wilson, KS 67490-8740 | 2012-07-06 |
| 1073755690 | Jana L Nyland | Speech-Language Pathologist | 611 31st St, Wilson, KS 67490-8740 | 2009-03-27 |
| Find all providers in zip 67490 | ||||
| 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 |
|---|---|---|---|---|
| 1619397437 | Cynthia Bunch | Assisted Living Facility | 2100 Cotton Cir Se, Wilson, NC 27893-6560 | 2014-04-19 |
| 1952748329 | In God's Hands | Assisted Living Facility | 403 Harrison Dr N, Wilson, NC 27893-1717 | 2013-05-26 |
| 1164693818 | Mable Doris Holden | Assisted Living Facility | 1607 Ashland Dr, Wilson, NC 27893-1901 | 2008-03-20 |
| 1730362757 | Willie N Dixon | Assisted Living Facility | 2507 Canal Dr Nw, Wilson, NC 27896-1325 | 2007-12-13 |
| 1215069240 | Gregory Eugene Edwards | Assisted Living Facility | 516 Deans St W, Wilson, NC 27893-2802 | 2007-03-13 |
| 1063544096 | Willie Nathaniel Dixon | Assisted Living Facility | 2817 Tilghman Rd N, Wilson, NC 27896-8908 | 2007-03-13 |
| 1851422059 | Jkv Inc. | Assisted Living Facility | 4679 Matthews Rd, Wilson, NC 27893-7980 | 2007-03-08 |
| 1285770933 | Wilson Assisted Living | Assisted Living Facility | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2007-01-29 |
| 1679621841 | Wilson House LLC | Assisted Living Facility | 1800 Martin Luther King Jr Pkwy Se, Wilson, NC 27893-6527 | 2007-01-06 |
| 1013088392 | Parkwood Village, LLC | Assisted Living Facility | 1730 Parkwood Blvd W, Wilson, NC 27893-3564 | 2006-11-10 |
| Find all providers in WILSON | ||||
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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.