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MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS LLC NPI 1477613222


NPI Information

NPI: 1477613222
Provider Name: MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS, LLC

Doing Business As: HOMESTEAD OF MANHATTAN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 17D0945241

Address:
1923 LITTLE KITTEN AVE
MANHATTAN, KS
ZIP 66503
Phone: (785) 776-1772
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MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS, LLC is an assisted living facility in Manhattan, KS. The provider is 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. MIDWEST HOMESTEAD OF MANHATTAN OPERATIONS, LLC NPI is 1477613222. The provider is registered as an organization entity type.
The provider Is Doing Business As Homestead Of Manhattan.

The provider's business location address is:

1923 LITTLE KITTEN AVE
MANHATTAN, KS
ZIP 66503-583
Phone: (785) 776-1772
Fax: (785) 565-9707

The provider's authorized official is Michael D Tryon .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The CLIA number assigned to this NPI record is 17D0945241 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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