RIVER BEND ASSISTED LIVING - NPI 1831145986 - Assisted Living Facility in Great Bend, KS

Q: What is Great Bend Homestead Assisted Living, LLC's specialty?

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

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About River Bend Assisted Living NPPES

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

RIVER BEND ASSISTED LIVING (NPI 1831145986) is a healthcare organization registered as an assisted living facility in Great Bend, Kansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists James Reiker, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1831145986

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGREAT BEND HOMESTEAD ASSISTED LIVING, LLC

Location Address3820 BROADWAY AVEGreat Bend, KS 67530-3645

Mailing Address3820 Broadway AveGreat Bend, KS 67530-3645

Phone(620) 792-7017

Organization SubpartNo

Authorized OfficialJames ReikerTreasurer · (573) 471-1113

Enumeration DateMay 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1831145986 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.

3820 BROADWAY AVE, Great Bend, KS 67530

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Other Names 1

Doing Business AsRiver Bend Assisted Living

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 17D0972573

River Bend Assisted Living · Great Bend, KS

Active · expires Apr 10, 2028

CLIA Number17D0972573

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorJamie Peters

Laboratory Phone(620) 792-7017

Laboratory LocationRiver Bend Assisted Living3820 Broadway, Great Bend, KS 67530

CLIA data matches this NPI record on: Address Name Phone

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 Great Bend Homestead Assisted Living, LLC's NPI number?

The NPI number for Great Bend Homestead Assisted Living, LLC is 1831145986. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Great Bend Homestead Assisted Living, LLC located?

Great Bend Homestead Assisted Living, LLC is located at 3820 Broadway Ave, Great Bend, KS 67530. The listed phone number is (620) 792-7017.

What is Great Bend Homestead Assisted Living, LLC's specialty?

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

Does Great Bend Homestead Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0972573) is associated with this NPI, valid through April 10, 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 Great Bend Homestead Assisted Living, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.