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Contact Information

MISSION VILLAGE LIVING CENTER, INC
1890 EUCLID AVENUE
HORTON, KS66439
 Phone: 785-486-2697
 Fax: 785-486-2359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MISSION VILLAGE LIVING CENTER, INC

NPI # 1346396058
LBN Legal business name MISSION VILLAGE LIVING CENTER, INC
Authorized official PATRICIA RAASCH - (ADMIN/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2007
Last updated 08/10/2015 - About 11 years ago
Identifiers
KS Medicaid 100107420A
KS Other 100107420B HCBS
KS Other 100107420B PROFESSIONAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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