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Clearwater Retirement Community Inc.

Alzheimer Center (Dementia Center) in Clearwater, KS · enumerated 2006 · authorized official Izena Monk, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407819246

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Registry record

Entity type Organization (Type 2)
Legal business name Clearwater Retirement Community Inc.
Other name <Unavail>
Practice address 620 E Wood St, Clearwater, KS, 67026
Fax (620) 584-4583
Enumeration date Apr 11, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License NO87053 (KS) Secondary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License BO87124 (KS) Secondary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License BO87123 (KS) Primary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NO87016 (KS) Secondary

Authorized official

Name Izena Monk
Title Administrator

Other identifiers

Identifier Type State Issuer
10010890021 Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clearwater Retirement Community Inc.?
The NPI for Clearwater Retirement Community Inc. is 1407819246, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clearwater Retirement Community Inc.?
NPPES lists Izena Monk (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.