Provider Demographics
NPI:1831313956
Name:LAFAYETTE LIFEPLANS OF HIAWATHA INC.
Entity Type:Organization
Organization Name:LAFAYETTE LIFEPLANS OF HIAWATHA INC.
Other - Org Name:MAPLE HEIGHTS NURSING & REHABILIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURYEA
Authorized Official - Suffix:
Authorized Official - Credentials:LACHA
Authorized Official - Phone:785-742-7465
Mailing Address - Street 1:302 EAST IOWA
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:KS
Mailing Address - Zip Code:66434
Mailing Address - Country:US
Mailing Address - Phone:785-742-7465
Mailing Address - Fax:785-742-3979
Practice Address - Street 1:302 E IOWA ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-9826
Practice Address - Country:US
Practice Address - Phone:785-742-7465
Practice Address - Fax:785-742-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN007005313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility