KISA LIFE RECOVERY, LLC (NPI# 1598275505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598275505 |
| Entity Type | Organization |
| Organization Name | KISA LIFE RECOVERY, LLC |
| Practice Address |
865 State Highway 99 Sedan KS 67361-8501 |
| Practice Telephone | 6207105058 |
| Mailing Telephone | 6207105058 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | KIMBERLY JONES (OWNER) |
| Authorized Official Telephone | 6207105058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 00460061 | KS | Residential Treatment Facilities |
| Street Address |
865 STATE HIGHWAY 99 |
| City | SEDAN |
| State | KS |
| Zip Code | 67361-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
| 1033114277 | Sedan City Hospital | General Acute Care Hospital | 300 W North St, Sedan, KS 67361-1051 | 2005-06-15 |
| 1215575956 | Mia Danielle Stroble | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2019-12-12 |
| 1194388843 | Katelyn Osborn | Speech-Language Pathologist | 300 W North St, Sedan, KS 67361-1051 | 2019-04-18 |
| 1730580887 | Bethany Anne Lear | Dietitian, Registered | 300 W North St, Sedan, KS 67361-1051 | 2014-09-09 |
| 1043629413 | Wade Matherly | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-08-10 |
| 1376951863 | Levi Lear | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-07-28 |
| 1750725065 | Marie J Strickler | Physical Therapy Assistant | 300 W North St, Sedan, KS 67361-1051 | 2013-04-18 |
| 1598904633 | Lori Ann Ridder | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2009-02-12 |
| 1831231315 | Shirley Hanley Black | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2007-02-13 |
| Find all providers in zip 67361 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319034 | Gold Bridge Treatment Center LLC | Substance Abuse Rehabilitation Facility | 105 E Amity St, Louisburg, KS 66053-4076 | 2020-06-03 |
| 1578075925 | Tomorrowslight Recovery Inc | Substance Abuse Rehabilitation Facility | 571 S Holland St, Wichita, KS 67209-2007 | 2017-10-25 |
| 1801218276 | Serenity Counseling and Wellness Center | Substance Abuse Rehabilitation Facility | 7933 State Ave Ste 203, Kansas City, KS 66112-2468 | 2014-01-20 |
| 1740538982 | Frontline Intervention Solution Today-organization LLC Limited Liabili | Substance Abuse Rehabilitation Facility | 3211 N 38th St, Kansas City, KS 66104-3726 | 2012-08-20 |
| 1942561576 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 2720 E 12th Ave, Winfield, KS 67156-4114 | 2012-05-30 |
| 1265684591 | Alcala Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 1243 Sw Topeka Blvd Ste B, Topeka, KS 66612-1907 | 2008-10-17 |
| 1306000724 | Cornerstone Therapy | Substance Abuse Rehabilitation Facility | 122 N Douglas Ave, Ellsworth, KS 67439-3214 | 2008-07-15 |
| 1598961419 | Syracusechemicaladdictiontreatment of Ks | Substance Abuse Rehabilitation Facility | 505 N Johnson, Syracuse, KS 67878-1008 | 2007-06-26 |
| 1164642591 | Simple Choice | Substance Abuse Rehabilitation Facility | 209 West Ave S, Lyons, KS 67554-2711 | 2007-04-26 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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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.