# OTTAWA RETIREMENT VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ottawa Retirement Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346233038
- **Authorized official:** KENNETH F RAUPACH (COO)
- **Authorized official phone:** (513) 487-3600

## Contact information

- **Practice address:** 1100 W 15TH ST, OTTAWA, KS 66067-3953
- **Practice address phone:** (785) 242-5399
- **Practice address fax:** (785) 242-6063
- **Mailing address:** 330 STRAIGHT ST, SUITE 330, CINCINNATI, OH 45219-1064
- **Mailing address phone:** (513) 487-3600
- **Mailing address fax:** (513) 487-3612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NO30005 | KS | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 04/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100110980A | — | KS |
| 01 | — | 100110980B | HCBS \# | KS |
| 01 | — | NO30005 | ADULT CARE HOME LICENSE | KS |