Healthcare Provider Details

I. General information

NPI: 1619526662
Provider Name (Legal Business Name): DOWNS OPERATOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 KANSAS ST
DOWNS KS
67437-1404
US

IV. Provider business mailing address

2907 W BAY TO BAY BLVD STE 303
TAMPA FL
33629-8187
US

V. Phone/Fax

Practice location:
  • Phone: 785-454-3321
  • Fax:
Mailing address:
  • Phone: 813-280-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierN071001
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerKANSAS STATE LICENSE NUMBER

VIII. Authorized Official

Name: STUART LINDEMAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 132-801-3338