OrganizationActive
Bethesda Lutheran Communities
NPI 1265587356 · Mental Illness Intermediate Care Facility · Shawnee Mission, KS
Provider details
- NPI number
- 1265587356
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Jeffrey Kaczmarski, Chief Legal Affairs Officer
- License
- 0841302101 (KS)
Practice location
14150 W 113th St
Shawnee Mission, KS 66215-4819
Phone: (913) 906-5009
Fax: (913) 469-4028
Mailing address
14150 W 113th St
Shawnee Mission, KS 66215-4819
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.