KRCAREGIVER (NPI# 1104190263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104190263 |
| Entity Type | Organization |
| Organization Name | KRCAREGIVER |
| Other Organization Name | KRCAREGIVER |
| Practice Address |
1508 Mills Cir Apt#1 Wichita KS 67216-1893 |
| Practice Telephone | 3162534101 |
| Mailing Telephone | 3162534101 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | KRISTINA LYNN RICHARDSON (CARE GIVER) |
| Authorized Official Telephone | 3162534101 |
| Authorized Official Credential | FIRST AID AND CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| krcaregiver | Other Name - Individual/Organization |
| Street Address |
1508 MILLS CIR APT#1 |
| City | WICHITA |
| State | KS |
| Zip Code | 67216-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104108422 | Howard W Hackney | Pharmacist | 5555 S. Broadway, Wichita, KS 67216 | 2011-09-13 |
| 1316057185 | Jimmy Lee Shadid | Dentist | 3367 E 47th South, Wichita, KS 67216 | 2006-08-30 |
| 1205877644 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 4747 S Broadway Ave, Wichita, KS 67216 | 2006-06-09 |
| 1790399376 | Miresha Andrews | Massage Therapist | 2851 S Mead St, Wichita, KS 67216-1112 | 2020-09-01 |
| 1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
| 1780245522 | Monday T Akintuyi | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1740841493 | Compassionate Home Health LLC | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1114460813 | Ariel Clementi | Social Worker | 1201 E Jump St, Wichita, KS 67216-1360 | 2016-11-29 |
| 1205319472 | Blue Moon Therapy LLC | Clinic/Center | 400 N Woodlawn, Suite 100, Wichita, KS 67216-1360 | 2018-09-12 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| Find all providers in zip 67216 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093050981 | Chris J Edwards | Residential Treatment Facility, Physical Disabilities | 2631 Corning Ave, Parsons, KS 67357-4005 | 2012-12-03 |
| 1770915449 | Rehab Care | Residential Treatment Facility, Physical Disabilities | 5901 W 107th St, Overland Park, KS 66207-3882 | 2013-08-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.