OTTAWA RETIREMENT PLAZA INC. NPI 1710971858

NPI Information

NPI: 1710971858
Provider Name: OTTAWA RETIREMENT PLAZA, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Doing Business As: OTTAWA PLAZA
Address: 1042 W 15TH ST
OTTAWA, KS
ZIP 66067
Phone: (785) 242-1127

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NPI Details

OTTAWA RETIREMENT PLAZA, INC. is an assisted living facility in Ottawa, 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. OTTAWA RETIREMENT PLAZA, INC. NPI is 1710971858. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ottawa Plaza.

The provider's business location address is:

1042 W 15TH ST
OTTAWA, KS
ZIP 66067-951
Phone: (785) 242-1127
Fax: (785) 242-1536

The provider's authorized official is Kenneth F Raupach .
The authorized official title is Coo and has the following contact phone number (513) 487-3600.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 4/19/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747P1801X	Technician	Personal Care Attendant	NO3006	KANSAS	No
2	261QA0600X	Clinic/Center	Adult Day Care	NO3006	KANSAS	No
3	251E00000X	Home Health		NO3006	KANSAS	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		NO3006	KANSAS	No
5	310400000X	Assisted Living Facility		NO3006	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100019200A	MEDICAID	KANSAS
2	NO3006	OTHER	KANSAS	ADULT CARE HOME LICENSE

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: 3/30/2025

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