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General NPI Number Information
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NPI Number | 1033227210
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Entity Type | Organization
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Legal Business Name | HOMESTEAD OF GARDEN CITY NURSING OPERATIONS LLC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 2308 N 3RD ST
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City | GARDEN CITY
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State | KS
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Zip | 67846
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Country | US
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Telephone | 620-276-7643
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Fax | 620-276-8717
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Provider Business Mailing Address
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Address Line | 3024 SW WANAMAKER RD STE 300
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City | TOPEKA
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State | KS
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Zip | 66614-4498
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Country | US
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Telephone | 785-272-1535
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Fax | 785-272-1480
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES A KLAUSMAN
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Credential |
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Telephone | 785-272-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N028001
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License Number State | KS
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