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NPI 1548143092

NPI 1548143092 : TALLGRASS HEALTHCARE CAMPUS LLC : JUNCTION CITY, KS

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General NPI Number Information
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    NPI Number           |    1548143092
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    Entity Type          |    Organization 
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    Legal Business Name  |    TALLGRASS HEALTHCARE CAMPUS LLC 
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Dates
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    Enumeration Date     |    07/30/2025
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    1417 W ASH ST 
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    City                 |    JUNCTION CITY
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    State                |    KS
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    Zip                  |    66441-3332
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    Country              |    US
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    Telephone            |    785-762-2162
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1417 W ASH ST 
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    City                 |    JUNCTION CITY
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    State                |    KS
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    Zip                  |    66441-3332
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    Country              |    US
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    Telephone            |    785-762-2162
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     AARON  CHESLEY 
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    Credential           |    
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    Telephone            |    619-568-5847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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