Provider Demographics
NPI:1649398629
Name:HALSTEAD PLACE
Entity Type:Organization
Organization Name:HALSTEAD PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEMETH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:316-830-2424
Mailing Address - Street 1:715 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056-2173
Mailing Address - Country:US
Mailing Address - Phone:316-830-2424
Mailing Address - Fax:316-830-3030
Practice Address - Street 1:715 W 6TH ST
Practice Address - Street 2:
Practice Address - City:HALSTEAD
Practice Address - State:KS
Practice Address - Zip Code:67056-2173
Practice Address - Country:US
Practice Address - Phone:316-830-2424
Practice Address - Fax:316-830-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN-040-008310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility