MY SACRED HOME, LLC (NPI# 1144455312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144455312 |
| Entity Type | Organization |
| Organization Name | MY SACRED HOME, LLC |
| Other Organization Name | MY SACRED HOME HOSPICE |
| Practice Address |
7829 E Rockhill St Ste 406 Wichita KS 67206-3915 |
| Practice Telephone | 3164404820 |
| Practice Fax Number | 3164404851 |
| Mailing Telephone | 3164404820 |
| Mailing Fax Number | 3164404851 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | JESSICA L MANZANO (BILLING AND CODING MANAGER) |
| Authorized Official Telephone | 3164404820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| My Sacred Home Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477707065 | My Sacred Home, LLC | Assisted Living Facility | 7829 E Rockhill St Ste 406, Wichita, KS 67206-3920 | 2008-11-09 |
| Street Address |
7829 E ROCKHILL ST STE 406 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477707065 | My Sacred Home, LLC | Assisted Living Facility | 7829 E Rockhill St Ste 406, Wichita, KS 67206-3920 | 2008-11-09 |
| 1144457557 | My Sacred Home II, LLC | Specialist | 7829 E Rockhill St Ste 406, Wichita, KS 67206-3915 | 2009-06-12 |
| 1396979456 | My Sacred Home II, LLC | Sleep Specialist, PhD | 7829 E Rockhill St Ste 406, Wichita, KS 67206-3915 | 2009-05-05 |
| 1013155522 | Msh II | Specialist | 7829 E Rockhill St Ste 406, Wichita, KS 67206-3915 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 1558916510 | Tolulope Adenike Kadiri | Hospice Care, Community Based | 2355 S Bedford St, Wichita, KS 67207-6303 | 2019-08-07 |
| 1275190282 | Ourkansas Guardian Hospice LLC | Hospice Care, Community Based | 2312 S Meridian Ave Ste 104, Wichita, KS 67213-1912 | 2019-05-24 |
| 1962977017 | Ourkansas Guardian LLC | Hospice Care, Community Based | 11715 E Crestwood St, Wichita, KS 67206-5503 | 2018-10-04 |
| 1912354697 | Physician's Choice of Kansas, Inc | Hospice Care, Community Based | 6611 E Central Ave Ste E, Wichita, KS 67206-1937 | 2016-05-23 |
| 1093104911 | Presbyterian Manors, Inc. | Hospice Care, Community Based | 2414 N Woodlawn Blvd, Wichita, KS 67220-3958 | 2015-01-15 |
| 1013261320 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 8201 E 34th Street Cir N Ste 1505, Wichita, KS 67226-1395 | 2012-11-08 |
| 1841543204 | Reflections Residential Care, LLC | Hospice Care, Community Based | 1201 N Pinecrest St, Wichita, KS 67208-2735 | 2012-10-23 |
| 1063709087 | Clear Path Hospice of Wichita, LLC | Hospice Care, Community Based | 818 North Emporia, Suite 307, Wichita, KS 67214 | 2011-06-29 |
| 1649563396 | Blue Star Health Care LLC | Hospice Care, Community Based | 515 N Ridge Rd, Ste 100, Wichita, KS 67212-6389 | 2011-05-26 |
| 1518273408 | Promises Kept Inc | Hospice Care, Community Based | 3450 N Rock Rd Ste 213, Wichita, KS 67226-1352 | 2010-08-30 |
| Find all providers in WICHITA | ||||
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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.