Kenwood Plaza, Inc. in St John - Assisted Living Facility
Kenwood Plaza, Inc. - NPI 1306823406
Kenwood Plaza, Inc. is a Assisted Living Facility in St John, Kansas. Kenwood Plaza, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Kenwood Plaza, Inc. is 1306823406. The last update date is 2020-08-22.
Kenwood Plaza, Inc.'s current location address is 607 E 1st Ave, St John, Kansas. You can contact this provider via phone number 6205496133 and fax number 6205499971. The mailing address for Kenwood Plaza, Inc. is 607 E 1st Ave, St John, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenwood Plaza, Inc. |
|---|---|
| Address | 607 E 1st Ave, St John, Kansas |
| Phone Number | 6205496133 |
| Fax Number | 6205499971 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Bartley L Tracy |
| Telephone Number | 7852733383 |
NPI Number Detail
| NPI Number | 1306823406 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 607 E 1st Ave |
|---|---|
| City | St John |
| State | Kansas (KS) |
| Post Code | 675762223 |
| Phone Number | 6205496133 |
| Fax Number | 6205499971 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | N093004 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Kenwood Plaza, Inc. by the Centers for Medicare & Medicaid Services?
The Kenwood Plaza, Inc. has been assigned the NPI (National Provider Identifier) 1306823406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kenwood Plaza, Inc.?
The Kenwood Plaza, Inc. is situated at 607 E 1St Ave, in the city of St John, state of KS, with the zip code 675762223.
What is Kenwood Plaza, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenwood Plaza, Inc.'s area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306823406 to Kenwood Plaza, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1306823406 to Kenwood Plaza, Inc. on 2005-12-29.
As of what date were the details related to Kenwood Plaza, Inc. most recently updated or revised?
The information pertaining to Kenwood Plaza, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.