# JEWEL HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emporia Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386853794
- **Authorized official:** MR. JOHN LARSON ATTORNEY (REGISTERED AGENT)
- **Authorized official phone:** (816) 322-8113

## Contact information

- **Practice address:** 221 W LOGAN AVE, EMPORIA, KS 66801-4661
- **Practice address phone:** (620) 342-4212
- **Practice address fax:** (620) 342-6523
- **Mailing address:** 12120 STATE LINE RD \# 372, LEAWOOD, KS 66209-1254
- **Mailing address phone:** (816) 322-8113
- **Mailing address fax:** (816) 322-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N056002 | KS | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000000938 | BCBS PROVIDER NUMBER | KS |