Healthcare Provider Details

I. General information

NPI: 1710813894
Provider Name (Legal Business Name): HARDTLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4252 SW 100TH ST
AUGUSTA KS
67010-8261
US

IV. Provider business mailing address

4252 SW 100TH ST
AUGUSTA KS
67010-8261
US

V. Phone/Fax

Practice location:
  • Phone: 316-655-3688
  • Fax:
Mailing address:
  • Phone: 316-655-3688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: BILL B EBERHARDT
Title or Position: OWNER
Credential: OWNER
Phone: 316-655-3690