Healthcare Provider Details
I. General information
NPI: 1659267748
Provider Name (Legal Business Name): TALLGRASS HEALTHCARE CAMPUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2025
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1417 W ASH ST
JUNCTION CITY KS
66441-3332
US
IV. Provider business mailing address
1417 W ASH ST
JUNCTION CITY KS
66441-3332
US
V. Phone/Fax
- Phone: 785-762-2162
- Fax:
- Phone: 785-762-2162
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
CHESLEY
Title or Position: MANAGER
Credential:
Phone: 110-121-8202