Healthcare Provider Details

I. General information

NPI: 1154390011
Provider Name (Legal Business Name): PLEASANT VIEW HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N WALNUT ST
INMAN KS
67546-8016
US

IV. Provider business mailing address

PO BOX 249 108 N WALNUT ST
INMAN KS
67546-0249
US

V. Phone/Fax

Practice location:
  • Phone: 620-585-6411
  • Fax: 620-585-6504
Mailing address:
  • Phone: 620-585-6411
  • Fax: 620-585-6504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LYNN NEUFELD
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 620-585-6411