MEDICARE: HALSTEAD HEALTH & REHAB CENTER OPERATIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	10010770A	KS
2	314000000X	Skilled Nursing Facility	175446	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508926312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALSTEAD HEALTH & REHAB CENTER OPERATIONS, LLC

Provider Business Mailing Address
First Line	:	3715 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2107
Country	:	US
Telephone Number	:	785-272-1535
Fax Number	:	785-440-0380

Provider Business Practice Location Address
First Line	:	915 MCNAIR ST
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-2518
Country	:	US
Telephone Number	:	316-835-3535
Fax Number	:	316-835-4848

Authorized Official
Title or Position	:	CFO
Name	:	MR. MICHAEL D TRYON
Credential	:
Telephone Number	:	785-272-1535

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	01/03/2025

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