# CONGREGATIONAL HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brewster Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578556569
- **Authorized official:** MRS. MELISSA REYNOLDS (CONTROLLER)
- **Authorized official phone:** (785) 274-3381

## Contact information

- **Practice address:** 1205 SW 29TH ST, TOPEKA, KS 66611-1203
- **Practice address phone:** (785) 274-3350
- **Practice address fax:** (785) 274-5782
- **Mailing address:** 1205 SW 29TH ST, TOPEKA, KS 66611-1203
- **Mailing address phone:** (785) 274-3350
- **Mailing address fax:** (785) 274-5782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N089001 | KS | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 02/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100107350A | — | KS |
| 05 | — | 100107350B | — | KS |
| 01 | — | 389 | BCBS | KS |