DELAWARE HIGHLANDS ASSISTED LIVING
NPI 1336291152
Assisted Living Facility in Kansas City, KS
- Organization
- Assisted Living Facility
- CLIA Number: 17D2029225
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 08-31-2027
About DELAWARE HIGHLANDS ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Delaware Highlands Assisted Living, a provider established in Kansas City, Kansas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1336291152 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number N105014 (KS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ketti Dawson M.s., Nha (Executive Director)
- NPI
- 1336291152 Verify this NPI
- Provider Name
- DELAWARE HIGHLANDS ASSISTED LIVING
- Entity Type
- Organization
- Location Address
- 12600 DELAWARE PKWY KANSAS CITY, KS 66109
- Location Phone
- (913) 721-1400
- Location Fax
- (913) 400-7127
- Mailing Address
- 12600 DELAWARE PKWY KANSAS CITY, KS 66109
- Mailing Phone
- (913) 721-1400
- Mailing Fax
- (913) 400-7127
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- N105014
- License State
- KS
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D2029225
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- September 01, 2025
- Certificate Expiration Date
- August 31, 2027
- Laboratory Director
- THOMAS A. WALKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Delaware Highlands Assisted Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
KANSAS CITY, KS 66109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336291152, enumerated as an "organization" on January 18, 2007.
The provider is located at 12600 DELAWARE PKWY KANSAS CITY, KS 66109 and the phone number is (913) 721-1400.
Assisted Living Facility with taxonomy code 310400000X.
