Leisure Homestead Association in Stafford - Skilled Nursing Facility

Leisure Homestead Association - NPI 1447393160

Leisure Homestead Association is a Skilled Nursing Facility in Stafford, Kansas. Leisure Homestead Association practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Leisure Homestead Association is 1447393160. The last update date is 2022-01-20.

Leisure Homestead Association's current location address is 405 Grand Ave, Stafford, Kansas. You can contact this provider via phone number 6202345208 and fax number 6202346911. The mailing address for Leisure Homestead Association is 405 Grand Ave, Stafford, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Leisure Homestead Association
Address 405 Grand Ave, Stafford, Kansas
Phone Number 6202345208
Fax Number 6202346911
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Younie Scott
Telephone Number 6202345208

NPI Number Detail

NPI Number 1447393160
Provider Enumeration Date 2007-02-14
Last Updated Date 2022-01-20

Provider Mailing Address Detail

Address 405 Grand Ave
City Stafford
State Kansas (KS)
Post Code 675782009
Phone Number 6202345208
Fax Number 6202346911

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No N093002
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130494 KS AAHSA ID
100109230A KS --
17E581 FEDERAL PROVIDER NO
N093002 KS STATE REGISTRY

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FAQs about Leisure Homestead Association

What is the Leisure Homestead Association's 1447393160?

The Leisure Homestead Association's NPI (National Provider Identifier) Number is 1447393160. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Leisure Homestead Association is physically located?

The Leisure Homestead Association is physically situated at the following address: 405 Grand Ave, Stafford, KS, 675782009.

What is Leisure Homestead Association's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Leisure Homestead Association is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1447393160 to Leisure Homestead Association?

The Centers for Medicare & Medicaid Services originally issued the 1447393160 to Leisure Homestead Association on 2007-02-14.

When was the Leisure Homestead Association's information last updated?

The Leisure Homestead Association's information was last updated on 2022-01-20.

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