TWO TIMBERS LLC (NPI# 1538590492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538590492 |
Entity Type | Organization |
Organization Name | TWO TIMBERS LLC |
Practice Address |
101 E Virginia St Highland KS 66035-4005 |
Practice Telephone | 7854424444 |
Practice Fax Number | 7854444444 |
Mailing Telephone | 7854424444 |
Mailing Fax Number | 7854444444 |
Enumeration Date | 2013-12-03 |
Last Update Date | 2014-02-10 |
Authorized Official Name | MRS. PAMELA J TWOMBLY (OWNER/OPERATOR) |
Authorized Official Telephone | 7854424444 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B022001 | KS | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 01918807 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | TWO TIMBERS LLC | 2416 N Co Rd 50 E, Paoli, IN 47454 |
Street Address |
101 E VIRGINIA ST |
City | HIGHLAND |
State | KS |
Zip Code | 66035-4005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962890806 | Carmen Crandall | Physical Therapy Assistant | 103 South Ave, Highland, KS 66035 | 2014-12-30 |
1053452730 | Rolland Mace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 806 W, Pennsylvania St., Highland, KS 66035 | 2007-02-08 |
1700936440 | Hiawatha Hospital Association Inc | Clinic/Center | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
1619027356 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
1174673818 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
1922158989 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-11 |
1609962620 | Bonnie J. Enneking | Nurse Practitioner | 415 W Main St, Highland, KS 66035-4143 | 2006-10-05 |
1750824512 | Recover-care Highland LLC | Skilled Nursing Facility | 402 S Avenue, Highland, KS 66035-4162 | 2016-11-28 |
1285622324 | Highland Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 402 S. Avenue St., Highland, KS 66035-4162 | 2005-10-12 |
1164632576 | Tia Marie Collins | Specialist/Technologist | 606 W Main St, Highland, KS 66035-4165 | 2007-05-23 |
Find all providers in zip 66035 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558971648 | Tracy Delois Allen | Custodial Care Facility | 2734 N Wellesley Ave, Wichita, KS 67220-2408 | 2020-08-04 |
1043841174 | Selah Home LLC | Custodial Care Facility | 15834 Sw Butler Rd, Rose Hill, KS 67133-8549 | 2020-01-28 |
1881238681 | Goshen Home Care Inc. | Custodial Care Facility | 9939 Foster St, Overland Park, KS 66212-2452 | 2019-11-05 |
1952962870 | Harmony House Home Plus LLC | Custodial Care Facility | 400 N Peterson Ave, Wichita, KS 67212-3732 | 2019-06-21 |
1508329905 | Karaway LLC | Custodial Care Facility | 1815 Sw Westwood Cir, Topeka, KS 66604-3269 | 2019-04-11 |
1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
1881175966 | Rl Fountainwood 2 | Custodial Care Facility | 2000 Fountainwood, Hutchinson, KS 67502-2662 | 2018-08-27 |
1306335328 | Anthem Overland Park Management, LLC | Custodial Care Facility | 6921 W 81st St, Overland Park, KS 66204-3913 | 2018-05-04 |
1518470186 | Rl Dodge City 1 | Custodial Care Facility | 2800 6th Ave, Dodge City, KS 67801-2478 | 2017-11-06 |
1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
Find all providers with the same taxonomy |
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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.