Provider Demographics
NPI:1134472640
Name:TWIN OAKS HEALTH AND REHAB OPERATIONS, LLC
Entity Type:Organization
Organization Name:TWIN OAKS HEALTH AND REHAB OPERATIONS, LLC
Other - Org Name:TWIN OAKS HEALTH AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-272-1535
Mailing Address - Street 1:757 W EISENHOWER
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1110
Mailing Address - Country:US
Mailing Address - Phone:913-534-8336
Mailing Address - Fax:913-250-0522
Practice Address - Street 1:757 W EISENHOWER
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1110
Practice Address - Country:US
Practice Address - Phone:785-272-1535
Practice Address - Fax:785-272-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201003320AMedicaid
KS201003320AMedicaid