# OTTAWA RETIREMENT PLAZA, INC.

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

## Provider details

- **NPI number:** 1710971858
- **Authorized official:** KENNETH F RAUPACH (COO)
- **Authorized official phone:** (513) 487-3600

## Contact information

- **Practice address:** 1042 W 15TH ST, OTTAWA, KS 66067-3951
- **Practice address phone:** (785) 242-1127
- **Practice address fax:** (785) 242-1536
- **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 |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | NO3006 | KS | — |
| 261QA0600X | Adult Day Care Clinic/Center | NO3006 | KS | — |
| 310400000X | Assisted Living Facility | NO3006 | KS | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | NO3006 | KS | — |
| 3747P1801X | Personal Care Attendant | NO3006 | KS | — |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100019200A | — | KS |
| 01 | — | NO3006 | ADULT CARE HOME LICENSE | KS |