EAGLECREST RETIREMENT COMMUNITY
NPI 1417002429
Assisted Living Facility in Salina, KS

Q: What is Eaglecrest LLC's NPI number?

The NPI number for Eaglecrest LLC is 1417002429. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Eaglecrest Retirement Community.

Q: What is Eaglecrest LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Eaglecrest LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since January 23, 2007CLIA 17D2114049 · Waiver

1501 E MAGNOLIA RD, SALINA, KS 67401(785) 309-1501(785) 309-1502 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Eaglecrest Retirement Community NPPES

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

EAGLECREST RETIREMENT COMMUNITY (NPI 1417002429) is a healthcare organization registered as an assisted living facility in Salina, Kansas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Brenda Sue O'gorman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417002429

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEAGLECREST LLC

Location Address1501 E MAGNOLIA RDSalina, KS 67401-9112

Mailing Address1501 E Magnolia RdSalina, KS 67401-9112 · (785) 309-1501 · Fax (785) 309-1502

Phone(785) 309-1501

Fax(785) 309-1502

Organization SubpartNo

Authorized OfficialBrenda Sue O'gormanExecutive Director · (785) 309-1501

Enumeration DateJanuary 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417002429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in KS · N085012

Definition

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.

1501 E MAGNOLIA RD, Salina, KS 67401

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Other Names 1

Doing Business AsEaglecrest Retirement Community

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2114049

Eaglecrest Retirement · Salina, KS

Active · expires Jun 5, 2028

CLIA Number17D2114049

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 6, 2026

Certificate Expiration DateJune 5, 2028

Laboratory DirectorValerie Weese

Laboratory Phone(785) 228-7971

Laboratory LocationEaglecrest Retirement1501 East Magnolia Road, Salina, KS 67401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Eaglecrest LLC's NPI number?

The NPI number for Eaglecrest LLC is 1417002429. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Eaglecrest Retirement Community.

Where is Eaglecrest LLC located?

Eaglecrest LLC is located at 1501 E Magnolia Rd, Salina, KS 67401. The listed phone number is (785) 309-1501.

What is Eaglecrest LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eaglecrest LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2114049) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eaglecrest LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.