MEDICALODGES, INC. (NPI# 1578633715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578633715 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | COMMUNITY CARE CONNECTIONS ARKANSAS CITY |
| Practice Address |
411 S Summit St Arkansas City KS 67005-2850 |
| Mailing Address |
411 S Summit St P.o. Box 736 Arkansas City KS 67005-2850 |
| Practice Telephone | 6204420007 |
| Practice Fax Number | 6204424662 |
| Mailing Telephone | 6204420007 |
| Mailing Fax Number | 6204424662 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6202516700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
A-018-008 | KS | Ambulatory Health Care Facilities |
| Y | 251E00000X | Home Health | A-018-008 | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100026530D | 05 |
| Other Name | Type Code |
|---|---|
| Community Care Connections Arkansas City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
| 1437410651 | Medicalodges, Inc. | Assisted Living Facility | 1004 E Centennial Dr, Pittsburg, KS 66762-6565 | 2012-06-05 |
| 1316017544 | Medicalodges, Inc. | Home Health | 420 W Lyon Dr, Neosho, MO 64850-9194 | 2006-11-08 |
| 1336228394 | Medicalodges, Inc. | Home Health | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2006-11-02 |
| 1255417614 | Medicalodges, Inc. | Skilled Nursing Facility | 201 W 8th St, Coffeyville, KS 67337-5807 | 2006-10-28 |
| 1083799613 | Medicalodges, Inc. | Case Management | 821 W 3rd St, Valley Center, KS 67147-2417 | 2006-10-25 |
| 1437233855 | Medicalodges, Inc. | Skilled Nursing Facility | 2 E Ash St, Herington, KS 67449-1662 | 2006-10-24 |
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| 1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 2006-10-18 |
| 1154402147 | Medicalodges, Inc. | Clinic/Center | 1635 Riley St, Atchison, KS 66002-1518 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICALODGES, INC. | 201 W 8th St, Coffeyville, KS 67337-5807 |
| Oklahoma Business Registrations | MEDICALODGES, INC. | P O Box 509, Coffeyville, KS 67337 |
| Street Address |
411 S SUMMIT ST |
| City | ARKANSAS CITY |
| State | KS |
| Zip Code | 67005-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498066 | Kenneth D Tyler | Contractor | 33370 61st Road, Arkansas City, KS 67005 | 2014-05-07 |
| 1902242761 | Ark City Dental | Preferred Provider Organization | 625 North Summit, Arkansas City, KS 67005 | 2013-05-20 |
| 1558427054 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 402 Windsor Road, Arkansas City, KS 67005 | 2006-12-29 |
| 1780754218 | Graves Drug Store #11 | Pharmacy | 212 South Summit, Arkansas City, KS 67005 | 2006-11-09 |
| 1881774644 | Wal-mart Stores, Inc. | Technician/Technologist | 2701 N. Summit St., Arkansas City, KS 67005 | 2006-10-16 |
| 1700977683 | Sydney Lynn Baker | Pharmacist | 212 S Summit, Graves Drug, Arkansas City, KS 67005 | 2006-09-27 |
| 1669572053 | Kamran Shahzada | Internal Medicine | 515 North Summit St., Arkansas City, KS 67005 | 2006-09-25 |
| 1558465674 | Brett Michael House | Chiropractor | 2149 N Summit, Arkansas City, KS 67005 | 2006-09-11 |
| 1700802774 | Lucinda Jo Minkler | Physical Therapist | 2524 North Summit, Arkansas City, KS 67005 | 2006-07-14 |
| 1528008323 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 425 N Summit St, Arkansas City, KS 67005 | 2006-06-08 |
| Find all providers in zip 67005 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697445 | Twin Rivers Developmental Supports Inc | Home Health | 22179 D Street, Strother Field Industrial Park, Arkansas City, KS 67005-0133 | 2007-03-19 |
| 1174881544 | Caring Hearts In-home Care Inc. | Home Health | 115 E 5th Ave, Arkansas City, KS 67005-2603 | 2012-04-24 |
| 1346349008 | South Central Kansas Regional Medical Center | Home Health | 6401 Patterson Pkwy, Arkansas City, KS 67005-5701 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359519 | Frances Redinger | Home Health | 1130 W Jewell St, Wichita, KS 67213-4233 | 2020-09-04 |
| 1780209882 | My Home Care LLC | Home Health | 1037 S Broadway Ave, Wichita, KS 67211-2232 | 2020-06-15 |
| 1033732706 | C & L Management, LLC | Home Health | 7400 W 130th St Ste 345, Overland Park, KS 66213-2678 | 2020-05-28 |
| 1265061428 | Heart To Heart Essential Care, LLC | Home Health | 204 S Santa Fe Ave Ste 2s, Salina, KS 67401-3994 | 2020-04-08 |
| 1457986820 | Tanui & Murage Comfort Care Home Health LLC | Home Health | 6600 W 95th St Ste 203b, Overland Park, KS 66212-1436 | 2020-03-06 |
| 1225676679 | Justin D Hagedorn | Home Health | 505 S Broadway Ave Ste 205, Wichita, KS 67202-3922 | 2019-12-17 |
| 1588200901 | Assurance Home Health Care | Home Health | 801 E Douglas Ave, Wichita, KS 67202-3548 | 2019-11-20 |
| 1427691849 | Core Home Health Agency LLC | Home Health | 5401 College Blvd Ste 206, Leawood, KS 66211-1662 | 2019-10-18 |
| 1427606193 | My Home Health Care, LLC | Home Health | 1640 N Broadway Ave, Wichita, KS 67214-1119 | 2019-08-27 |
| 1215581723 | Crystal Kay Ernst | Home Health | 13201 E Maple Grove Rd, Mount Hope, KS 67108-9008 | 2019-08-01 |
| Find all providers with the same taxonomy | ||||
| City | ARKANSAS CITY |
| Zip Code | 67005 |
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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.