ELITE ADULT LIVING LLC (NPI# 1124630132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124630132 |
Entity Type | Organization |
Organization Name | ELITE ADULT LIVING LLC |
Practice Address |
5001 Looman St Wichita KS 67220-3030 |
Mailing Address |
5003 N Peregrine St Wichita KS 67219-3000 |
Practice Telephone | 3167122168 |
Mailing Telephone | 3167122168 |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |
Authorized Official Name | MRS. JENNA AKPAN (OWNER) |
Authorized Official Telephone | 3167122168 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
ELITE ADULT LIVING LLC | Doing Business As Name - Organization |
Street Address |
5001 LOOMAN ST |
City | WICHITA |
State | KS |
Zip Code | 67220-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
Find all providers in zip 67220 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366861197 | Karen Frye | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4214 N 143rd St E, Wichita, KS 67228-8943 | 2014-04-09 |
1366873788 | Stacey Evans S.e. Enterprises | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11702 W Kenny Ln, Wichita, KS 67212-6649 | 2013-12-11 |
1164561486 | The Right Thing Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3330 W. Douglas, Ste. #300, Wichita, KS 67203 | 2007-02-05 |
1477522134 | Arrowhead West, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9505 W Central Ave, Suite 110, Wichita, KS 67212-3831 | 2006-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720603186 | Beverly Jean Weber Cobb | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3829 Sw Wood Valley Dr, Topeka, KS 66610-1124 | 2020-06-11 |
1073174918 | Keith Lavelle Kerr Jr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2914 N 38th St, Kansas City, KS 66104-2526 | 2019-06-21 |
1912444548 | Developmental Services of Northwest Kansas, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2703 Hall St Ste 10, Hays, KS 67601-1964 | 2017-01-20 |
1255785275 | Lindsey Marts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8809 Grandview St, Overland Park, KS 66212-3643 | 2016-04-15 |
1952774184 | Joyce's New Vision LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1801 S 40th St, Kansas City, KS 66106-2607 | 2015-11-10 |
1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
1427474485 | Joyce Ann Maley | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 2200th St, Iola, KS 66749-3085 | 2014-03-13 |
1174947113 | Avance-d Comminuty Alternatives, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7424 Sw 33rd St, Topeka, KS 66614-4663 | 2014-02-11 |
1346661485 | Lawrence Comunity Innkeepers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 N 1750 Rd, Lawrence, KS 66049-9019 | 2013-12-16 |
1265860902 | Joyce Butler | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3515 N 33rd Ter, Kansas City, KS 66104-3874 | 2013-10-16 |
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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.