MEDICARE: TALLGRASS HEALTHCARE CAMPUS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1659267748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALLGRASS HEALTHCARE CAMPUS LLC

Provider Business Mailing Address
First Line	:	1417 W ASH ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3332
Country	:	US
Telephone Number	:	785-762-2162
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 W ASH ST
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3332
Country	:	US
Telephone Number	:	785-762-2162
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AARON CHESLEY
Credential	:
Telephone Number	:	110-121-8202

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	01/15/2026

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