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ROCK CREEK OF OTTAWA
NPI 1689149619
Assisted Living Facility in Ottawa, KS

Active since October 05, 2018CLIA 17D0695856 · Waiver
1100 W 15TH ST, OTTAWA, KS 66067(785) 242-5399 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2023, Oct 5, 2018 (2 updates tracked since 2018).

About Rock Creek Of Ottawa NPPES

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

ROCK CREEK OF OTTAWA (NPI 1689149619) is a healthcare organization registered as an assisted living facility in Ottawa, Kansas and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1689149619
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOTTAWA HEALTHCARE LLC
Location Address1100 W 15TH STOttawa, KS 66067-3953
Mailing Address1100 W 15th StOttawa, KS 66067-3953 · (785) 242-5399
Phone(785) 242-5399
Organization SubpartNo
Authorized OfficialSoon BurnamTreasurer · (949) 540-1249
Enumeration DateOctober 5, 2018
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1689149619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1100 W 15TH ST, Ottawa, KS 66067
Open in Google Maps ↗

Other Names 1

Doing Business AsRock Creek Of Ottawa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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 17D0695856

Rock Creek Of Ottawa · Ottawa, KS
Active · expires Aug 31, 2026
CLIA Number17D0695856
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShyam Akkulugari
Laboratory Phone(785) 242-5399
Laboratory LocationRock Creek Of Ottawa1100 West 15th Street, Ottawa, KS 66067
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. SAMANTHA TAYLOR HART APRN
Nurse Practitioner (Gerontology)
1100 W 15TH ST
OTTAWA, KS 66067
Franklin County (785) 242-5399
MAEGAN I PANKEY OTR/L
Occupational Therapist
1100 W 15TH ST
OTTAWA, KS 66067
Franklin County (785) 242-1433
OTTAWA RETIREMENT VILLAGE, INC.
Skilled Nursing Facility
1100 W 15TH ST
OTTAWA, KS 66067
Franklin County (785) 242-5399
MEGHAN OTHICK MA, CCC-SLP
Speech-Language Pathologist
1100 W 15TH ST
OTTAWA, KS 66067
Franklin County (785) 242-5399
MS. MICHELLE ANN MOOK OTR/L
Community Health Worker
1100 W 15TH ST, OTTAWA RETIREMENT VILLAGE
OTTAWA, KS 66067
Franklin County (785) 242-5399
OTTAWA HEALTHCARE LLC
Skilled Nursing Facility
1100 W 15TH ST
OTTAWA, KS 66067
Franklin County (785) 242-5399

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 Ottawa Healthcare LLC's NPI number?

The NPI number for Ottawa Healthcare LLC is 1689149619. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as Rock Creek Of Ottawa.

Where is Ottawa Healthcare LLC located?

Ottawa Healthcare LLC is located at 1100 W 15th St, Ottawa, KS 66067. The listed phone number is (785) 242-5399.

What is Ottawa Healthcare LLC's specialty?

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

Does Ottawa Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0695856) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ottawa Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma list Ottawa Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ottawa Healthcare LLC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.