Organization
OTTAWA RETIREMENT VILLAGE, INC.
Active
Other names
Ottawa Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH F RAUPACH (COO)
(513) 487-3600
Entity
Organization
Contact information
Practice address
1100 W 15TH ST, OTTAWA, KS 66067-3953
(785) 242-5399
(785) 242-6063
Mailing address
330 STRAIGHT ST, SUITE 330, CINCINNATI, OH 45219-1064
(513) 487-3600
(513) 487-3612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NO30005
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110980A
—
KS
01
—
100110980B
HCBS #
KS
01
—
NO30005
ADULT CARE HOME LICENSE
KS
Enumeration date
08/26/2005
Last updated
04/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us