Provider Demographics
NPI:1982604450
Name:SPRING VIEW MANOR, INC.
Entity Type:Organization
Organization Name:SPRING VIEW MANOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-456-2285
Mailing Address - Street 1:412 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:67031-8252
Mailing Address - Country:US
Mailing Address - Phone:620-456-2285
Mailing Address - Fax:620-456-2323
Practice Address - Street 1:412 S 8TH ST
Practice Address - Street 2:
Practice Address - City:CONWAY SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:67031-8252
Practice Address - Country:US
Practice Address - Phone:620-456-2285
Practice Address - Fax:620-456-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN096006314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1042721701Medicaid
KS1042721701Medicaid