JEWELL HEALTH CARE, LLC (NPI# 1619185345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619185345 |
| Entity Type | Organization |
| Organization Name | JEWELL HEALTH CARE, LLC |
| Other Organization Name | CHEYENNE MEADOWS LIVING CENTER |
| Practice Address |
272 W Cheyenne St Hoisington KS 67544-1576 |
| Mailing Address |
12120 State Line Rd # 372 Leawood KS 66209-1254 |
| Practice Telephone | 6206534141 |
| Practice Fax Number | 6206534282 |
| Mailing Telephone | 8163228113 |
| Mailing Fax Number | 8163226671 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN LARSON (REGISTERED AGENT) |
| Authorized Official Telephone | 8163228113 |
| Authorized Official Credential | ATTORNEY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
N005003 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS PROVIDER NUMBER | 0000000771 | 01 |
| Other Name | Type Code |
|---|---|
| Cheyenne Meadows Living Center | Doing Business As Name - Organization |
| Street Address |
272 W CHEYENNE ST |
| City | HOISINGTON |
| State | KS |
| Zip Code | 67544-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225120249 | Jewel Healthcare, LLC | Skilled Nursing Facility | 272 W Cheyenne St, Hoisington, KS 67544-1576 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063507952 | Blake E. Herres IIi | Dentist | 568 W. 7th, Hoisington, KS 67544 | 2006-10-04 |
| 1962593087 | Harold Keith Ritter | Dentist | 165 West Seventh, Hoisington, KS 67544 | 2006-09-27 |
| 1316047715 | Debra Brockel | Physician Assistant | 252 W 9th Streeet, Hoisington, KS 67544 | 2006-09-25 |
| 1164494381 | Robert Michael Sheppard | Nurse Anesthetist, Certified Registered | 250 West 9th, Hoisington, KS 67544 | 2006-02-02 |
| 1598736464 | R M Sheppard Inc | Nurse Anesthetist, Certified Registered | 250 W 9th, Hoisington, KS 67544 | 2006-01-30 |
| 1932328705 | City of Hoisington Ambulance Service | Ambulance | 202 East Broadway, Hoisington, KS 67544-0418 | 2007-04-24 |
| 1184690554 | Cheyenne Drug Inc | Pharmacy | 110 N Main, Hoisington, KS 67544-0446 | 2006-02-27 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| 1114964111 | The Clara Barton Hospital Association, Inc. Hoisington Kansas | General Acute Care Hospital | 250 W 9th St, Hoisington, KS 67544-1706 | 2006-05-31 |
| 1649738394 | Cornerstone Anesthesia LLC | Nurse Anesthetist, Certified Registered | 250 W 9th St, Hoisington, KS 67544-1706 | 2019-03-12 |
| Find all providers in zip 67544 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160153 | Garden Valley Retirement Village, Inc. | Skilled Nursing Facility | 1505 E Spruce St, Garden City, KS 67846-6250 | 2005-11-03 |
| 1801896782 | Memorial Home, Inc. | Skilled Nursing Facility | 86 22nd Ave, Moundridge, KS 67107-7003 | 2005-07-21 |
| 1326504028 | Orchard Gardens, LLC | Skilled Nursing Facility | 1600 S Woodlawn Blvd, Wichita, KS 67218-4728 | 2019-02-18 |
| City | HOISINGTON |
| Zip Code | 67544 |
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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.