WASHINGTON COUNTY HOSPITAL LIFELINE (NPI# 1609297373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609297373 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY HOSPITAL LIFELINE |
| Practice Address |
304 E 3rd St Washington KS 66968-2033 |
| Practice Telephone | 7853252211 |
| Practice Fax Number | 7853253224 |
| Mailing Telephone | 7853252211 |
| Mailing Fax Number | 7853253224 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | DOYLE MCKIMMY (CEO) |
| Authorized Official Telephone | 7853252211 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 171351 | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100099440A | 05 |
| Street Address |
304 E 3RD ST |
| City | WASHINGTON |
| State | KS |
| Zip Code | 66968-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403584 | Washington County Hospital | General Acute Care Hospital | 304 E 3rd St, Washington, KS 66968-2098 | 2005-08-04 |
| 1528448982 | Andrea Blumer | Nurse Practitioner | 304 E 3rd St, Washington, KS 66968-2033 | 2015-06-01 |
| 1518221662 | Kellen E Sherlock | Family Medicine | 304 E 3rd St, Washington, KS 66968-2033 | 2012-07-03 |
| 1235239997 | Washington County Hospital Dme | Durable Medical Equipment & Medical Supplies | 304 E 3rd St, Washington, KS 66968-2033 | 2006-09-23 |
| 1396764445 | Washington County Hospital | General Acute Care Hospital | 304 E 3rd St, Washington, KS 66968-2033 | 2006-07-19 |
| 1154323848 | Washington County Hospital | Medicare Defined Swing Bed Unit | 304 E 3rd St, Washington, KS 66968-2033 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528368065 | Thea Portenier | Durable Medical Equipment & Medical Supplies | 1803 Wilson St, Washington, KS 66968 | 2010-11-01 |
| 1134109143 | Meyler David Gibbs | Dentist | 300 C St, Washington, KS 66968 | 2006-01-18 |
| 1558452060 | Wiley N Alexander | Chiropractor | 121 C St, Washington, KS 66968-1904 | 2006-09-28 |
| 1134485428 | Alexander Chiropractic Clinic, P.a. | Clinic/Center | 121 C St, Washington, KS 66968-1904 | 2012-04-11 |
| 1811957608 | Julie K Hammes & Hanover Professional Pharmacy Inc Ptr | Pharmacy | 227 C Street, Washington, KS 66968-1906 | 2006-03-24 |
| 1285100214 | Washington Pharmacy Inc | Pharmacy | 227 C St, Washington, KS 66968-1906 | 2018-10-17 |
| 1144465469 | Washington Pharmacy Inc | Pharmacy | 227 C St, Washington, KS 66968-1906 | 2008-12-16 |
| 1265583298 | Dennis Merle Portenier | Chiropractor | 317 C St, Washington, KS 66968-1908 | 2007-01-16 |
| 1700028123 | Portenier Chiropractic Clinic Inc. | Chiropractor | 317 C St, Washington, KS 66968-1908 | 2009-03-31 |
| 1205807880 | Larry Dale Stoppel | Optometrist | 318 C St, Washington, KS 66968-1909 | 2006-01-31 |
| Find all providers in zip 66968 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938445 | Nekia Sharisse Davis | In Home Supportive Care | 933 N St Nw Apt 102, Washington, DC 20001-4248 | 2020-10-01 |
| 1871109165 | Gabrielle Gardner | In Home Supportive Care | 3298 Fort Lincoln Dr Ne, Washington, DC 20018-4341 | 2020-09-22 |
| 1659995819 | Cheryl D Stradford | In Home Supportive Care | 4319 Gorman Ter Se, Washington, DC 20019-4256 | 2020-06-03 |
| 1639708605 | Linda D. Leary | In Home Supportive Care | 6805 Georgia Ave Nw Apt 21, Washington, DC 20012-2665 | 2020-04-02 |
| 1174156236 | Prestige Home and Community Support Inc | In Home Supportive Care | 1418 Good Hope Rd Se, Washington, DC 20020-5615 | 2020-02-18 |
| 1023640380 | Compassionate Healthcare, LLC | In Home Supportive Care | 1025 Conn Ave Nw, Washington, DC 20036-5405 | 2020-02-05 |
| 1821659442 | Walkenhorst Senior Care, LLC | In Home Supportive Care | 1615 Heritage Hills Dr, Washington, MO 63090-4619 | 2019-06-25 |
| 1053972802 | Icare Now, LLC | In Home Supportive Care | 5807 Eads St Ne, Washington, DC 20019-6924 | 2019-06-24 |
| 1447713938 | Barbara A Byrd | In Home Supportive Care | 3028 Pineview Ct Ne, Washington, DC 20018-1618 | 2019-04-11 |
| 1720541105 | Dani Hilliard | In Home Supportive Care | 1900 Minnesota Ave Se Apt 201, Washington, DC 20020-5452 | 2019-04-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 66968 |
Please comment or provide details below to improve the information on WASHINGTON COUNTY HOSPITAL LIFELINE.
| 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.