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CLEARWATER RETIREMENT COMMUNITY INC.
NPI 1407819246
Alzheimer Center (Dementia Center) in Clearwater, KS

Active since April 11, 2006
620 E WOOD ST, CLEARWATER, KS 67026(620) 584-2271(620) 584-4583 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Clearwater Retirement Community Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARWATER RETIREMENT COMMUNITY INC. (NPI 1407819246), doing business as Crc The Manor, is a healthcare organization registered as an alzheimer center (dementia center) in Clearwater, Kansas and active in the NPI registry since April 2006. The organization lists Izena Monk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407819246
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameCLEARWATER RETIREMENT COMMUNITY INC.
Location Address620 E WOOD STClearwater, KS 67026-9757
Mailing Address620 E Wood StClearwater, KS 67026-9757 · (620) 584-2271 · Fax (620) 584-4583
Phone(620) 584-2271
Fax(620) 584-4583
Organization SubpartNo
Authorized OfficialIzena MonkAdministrator · (620) 584-2271
Enumeration DateApril 11, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1407819246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
Licenses✔ Licensed in KS · BO87123✔ Licensed in KS · BO87124
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License NO87053 (KS)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License NO87016 (KS)
620 E WOOD ST, Clearwater, KS 67026
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Other Names 1

Doing Business AsCrc The Manor

Other Identifiers 1

Medicaid10010890021KS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA HERRERA
Occupational Therapy Assistant
620 E WOOD ST
CLEARWATER, KS 67026
Sedgwick County (620) 338-6665
PINNACLE HEALTH FACILITIES XXXII LP
Skilled Nursing Facility
620 E WOOD ST
CLEARWATER, KS 67026
Sedgwick County (620) 584-2271
CLEARWATER LIVING, LLC
Skilled Nursing Facility
620 E WOOD ST
CLEARWATER, KS 67026
Sedgwick County (620) 584-2271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearwater Retirement Community Inc.'s NPI number?

The NPI number for Clearwater Retirement Community Inc. is 1407819246. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as CRC The Manor.

Where is Clearwater Retirement Community Inc. located?

Clearwater Retirement Community Inc. is located at 620 E Wood St, Clearwater, KS 67026. The listed phone number is (620) 584-2271.

What is Clearwater Retirement Community Inc.'s specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Clearwater Retirement Community Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.