Healthcare Provider Details

I. General information

NPI: 1558883405
Provider Name (Legal Business Name): MORNINGSTAR CARE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 E WASHINGTON ST
FREDONIA KS
66736-1757
US

IV. Provider business mailing address

PO BOX 445
BALDWIN CITY KS
66006-0445
US

V. Phone/Fax

Practice location:
  • Phone: 620-378-2329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT D SCHULTZ
Title or Position: PRESIDENT
Credential: OPERATOR
Phone: 785-594-2603