OTTAWA RETIREMENT VILLAGE, INC. (NPI# 1346233038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346233038 |
| Entity Type | Organization |
| Organization Name | OTTAWA RETIREMENT VILLAGE, INC. |
| Other Organization Name | OTTAWA RETIREMENT VILLAGE |
| Practice Address |
1100 W 15th St Ottawa KS 66067-3953 |
| Mailing Address |
330 Straight St Suite 330 Cincinnati OH 45219-1064 |
| Practice Telephone | 7852425399 |
| Practice Fax Number | 7852426063 |
| Mailing Telephone | 5134873600 |
| Mailing Fax Number | 5134873612 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | KENNETH F RAUPACH (COO) |
| Authorized Official Telephone | 5134873600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NO30005 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | HCBS # | 100110980B | 01 |
| KS | ADULT CARE HOME LICENSE | NO30005 | 01 |
| KS | 100110980A | 05 |
| Other Name | Type Code |
|---|---|
| Ottawa Retirement Village | Doing Business As Name - Organization |
| Street Address |
1100 W 15TH ST |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689149619 | Ottawa Healthcare, Inc. | Assisted Living Facility | 1100 W 15th St, Ottawa, KS 66067-3953 | 2018-10-05 |
| 1932687175 | Ottawa Healthcare, Inc. | Skilled Nursing Facility | 1100 W 15th St, Ottawa, KS 66067-3953 | 2018-07-31 |
| 1598014847 | Michelle Ann Mook | Community Health Worker | 1100 W 15th St, Ottawa Retirement Village, Ottawa, KS 66067 | 2012-08-31 |
| 1356635452 | Meghan Othick | Speech-Language Pathologist | 1100 W 15th St, Ottawa, KS 66067-3953 | 2011-06-06 |
| 1134440308 | Maegan I Pankey | Occupational Therapist | 1100 W 15th St, Ottawa, KS 66067-3953 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
| Find all providers in zip 66067 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972908069 | Trilogy Healthcare of Putnam II, LLC | Skilled Nursing Facility | 147 Putnam Parkway, Ottawa, OH 45875 | 2014-10-31 |
| 1982651741 | Pleasant View Luther Home, Inc | Skilled Nursing Facility | 505 College Ave, Ottawa, IL 61350-3865 | 2006-05-27 |
| 1609821396 | County of Putnam | Skilled Nursing Facility | 10170 Road 5h, Ottawa, OH 45875-9715 | 2006-05-23 |
| 1891747036 | Trilogy Healthcare of Putnam II, LLC | Skilled Nursing Facility | 575 Ottawa Glandorf Rd, Ottawa, OH 45875-9426 | 2006-05-16 |
| 1205813490 | Ottawa Pavilion, Ltd. | Skilled Nursing Facility | 704 E Glover St, Ottawa, IL 61350-4131 | 2005-12-28 |
| 1962492934 | Health Care Ventures of Ohio | Skilled Nursing Facility | 1925 E 4th St, Ottawa, OH 45875-1540 | 2005-10-21 |
| 1295351682 | Autumn Court Operating Company, LLC | Skilled Nursing Facility | 1925 E 4th St, Ottawa, OH 45875-1540 | 2020-06-22 |
| 1770119364 | Majestic Care of Ottawa LLC | Skilled Nursing Facility | 1925 E 4th St, Ottawa, OH 45875-1540 | 2020-03-16 |
| 1932687175 | Ottawa Healthcare, Inc. | Skilled Nursing Facility | 1100 W 15th St, Ottawa, KS 66067-3953 | 2018-07-31 |
| 1942376868 | Healthcare Ventures of Ohio, LLC | Skilled Nursing Facility | 1925 E 4th St, Ottawa, OH 45875-1540 | 2006-11-24 |
| Find all providers in OTTAWA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.