PRAIRIE MISSION RETIREMENT VILLAGE (NPI# 1134159452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134159452 |
| Entity Type | Organization |
| Organization Name | PRAIRIE MISSION RETIREMENT VILLAGE |
| Practice Address |
242 Carroll St Saint Paul KS 66771-4044 |
| Practice Telephone | 6204492400 |
| Practice Fax Number | 6204492564 |
| Mailing Telephone | 6204492400 |
| Mailing Fax Number | 6204492564 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BRENDA K. THORNTON (ADMINISTRATOR) |
| Authorized Official Telephone | 6204492400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N-067-007 | KS | Nursing & Custodial Care Facilities |
| Street Address |
242 CARROLL ST |
| City | SAINT PAUL |
| State | KS |
| Zip Code | 66771-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132664 | Alyse Bartholomew | Occupational Therapist | 242 Carroll St, Saint Paul, KS 66771-4044 | 2014-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477753242 | Carol Frances Smith | Social Worker | 635 N. Main St., Saint Paul, KS 66771-0302 | 2007-07-20 |
| 1164613121 | Jennifer Denise Stoneking | Speech-Language Pathologist | 910 5th St, Saint Paul, KS 66771-3080 | 2007-08-06 |
| 1528374659 | Tamara Suzann Norris | Occupational Therapist | 614 5th St, Saint Paul, KS 66771-4012 | 2010-08-26 |
| 1710985429 | Labette County Medical Center | Clinic/Center | 200 Carroll St, St Paul, KS 66771-4044 | 2005-07-07 |
| 1922006212 | Michael W Carter | Physician Assistant | 200 Carroll St, St Paul, KS 66771-4044 | 2005-07-11 |
| 1043393507 | Res-care Kansas, Inc | Case Management | 108 5th St., St. Paul, KS 66771-4095 | 2006-10-20 |
| 1679826515 | Res-care Kansas, Inc | Case Management | 108 5th St., St. Paul, KS 66771-4095 | 2012-10-16 |
| 1114270055 | Res-care Kansas, Inc | Day Training, Developmentally Disabled Services | 108 5th St., St. Paul, KS 66771-4095 | 2012-10-16 |
| 1073819140 | Res-care Kansas, Inc | Home Health | 108 5th St., St. Paul, KS 66771-4095 | 2011-02-07 |
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104236512 | Episcopal Homes On University Avenue, LLC | Skilled Nursing Facility | 1860 University Ave W, Saint Paul, MN 55104-3402 | 2014-05-07 |
| 1427183961 | Senior Care Woodbury, LLC | Skilled Nursing Facility | 7012 Lake Rd, Saint Paul, MN 55125-2433 | 2007-02-23 |
| 1992866032 | Voa Care Centers, Minnesota | Skilled Nursing Facility | 1900 Sherren Ave E, Saint Paul, MN 55109-2803 | 2006-12-13 |
| 1295806990 | Extendicare Homes, Inc. | Skilled Nursing Facility | 445 Galtier St, Saint Paul, MN 55103-2358 | 2006-11-13 |
| 1457460230 | Heritage of St Paul, Inc | Skilled Nursing Facility | 1405 Heritage Dr, Saint Paul, NE 68873-3618 | 2006-08-29 |
| 1578578134 | Lyngblomsten Care Center, Inc. | Skilled Nursing Facility | 1415 Almond Ave, Saint Paul, MN 55108-2507 | 2006-07-30 |
| 1871511790 | Highland Chateau Suites, LLC | Skilled Nursing Facility | 2319 7th St W, Saint Paul, MN 55116-2813 | 2006-07-18 |
| 1699726901 | Ggnsc St. Paul Lynnhurst LLC | Skilled Nursing Facility | 471 Lynnhurst Ave W, Saint Paul, MN 55104-3408 | 2006-05-12 |
| 1013979319 | Franciscan Health Community | Skilled Nursing Facility | 1925 Norfolk Ave, Saint Paul, MN 55116-2667 | 2006-04-04 |
| 1194705830 | Little Sisters of The Poor of St Paul | Skilled Nursing Facility | 330 Exchange St S, Saint Paul, MN 55102-2311 | 2006-01-19 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 66771 |
Please comment or provide details below to improve the information on PRAIRIE MISSION RETIREMENT VILLAGE.
| 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.