Provider Demographics
NPI:1154390011
Name:PLEASANT VIEW HOME
Entity type:Organization
Organization Name:PLEASANT VIEW HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEUFELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-585-6411
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:108 N WALNUT ST
Mailing Address - City:INMAN
Mailing Address - State:KS
Mailing Address - Zip Code:67546-0249
Mailing Address - Country:US
Mailing Address - Phone:620-585-6411
Mailing Address - Fax:620-585-6504
Practice Address - Street 1:108 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:KS
Practice Address - Zip Code:67546-8016
Practice Address - Country:US
Practice Address - Phone:620-585-6411
Practice Address - Fax:620-585-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100112250AMedicaid
KS175406Medicare Oscar/Certification