<Unavail>

LBN: Clearwater Retirement Community Inc.
<Unavail> is an health care organization with primary practice located at 620 E Wood St , Clearwater KS 67026-9757. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Clearwater Retirement Community Inc. can be contacted via phone (620) 584-2271, or through Monk, Izena via phone (620) 584-2271.

Contact Information

Primary practice address
620 E Wood St Clearwater KS 67026-9757
Phone: (620) 584-2271
Fax: (620) 584-4583
Website:
Map and Directions
Authorized official contact:
Name: Monk, Izena
Phone: (620) 584-2271

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X NO87053 Kansas
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X BO87124 Kansas
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X BO87123 Kansas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NO87016 Kansas

Profile Details

NPI number 1407819246
LBN Legal business name Clearwater Retirement Community Inc.
DBA Doing business as <Unavail>
Authorized official Monk, Izena
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407819246 NPPES
Kansas MEDICAID 10010890021

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