Healthcare Provider Details
I. General information
NPI: 1205588936
Provider Name (Legal Business Name): MORNINGSTAR CARE HOMES OF BALDWIN CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2022
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
424 WASHINGTON ST
BALDWIN CITY KS
66006-5100
US
IV. Provider business mailing address
1103 COMMERCIAL ST
EMPORIA KS
66801-2920
US
V. Phone/Fax
- Phone: 785-594-2603
- Fax:
- Phone: 620-412-6309
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLINT
ARNDT
Title or Position: MEMBER MANAGER
Credential:
Phone: 620-794-1945