VCPHCS XIV, LLC (NPI# 1619313665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619313665 |
| Entity Type | Organization |
| Organization Name | VCPHCS XIV, LLC |
| Practice Address |
6331 W. 110th Street Overland Park KS 66211 |
| Mailing Address |
5001 Spring Valley Road Suite 600 East Dallas TX 75244 |
| Practice Telephone | 9136961911 |
| Practice Fax Number | 9136961619 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
06970882 | KS | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
6331 W. 110TH STREET |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| 1083644991 | Valley Hope Association | Clinic/Center | 10114 West 105th Street, Overland Park Valley Hope, Overland Park, KS 66212 | 2006-07-04 |
| 1730404930 | Turning Point Recovery Services LLC | Clinic/Center | 10251 W 87th St, Overland Park, KS 66212-4675 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881173334 | Pmr, Pa | Clinic/Center | 7301 Mission Rd Ste 135, Prairie Village, KS 66208-3005 | 2018-08-07 |
| 1871833285 | Changing Habits | Clinic/Center | 1115 S Glendale St Ste 204, Parklane Shopping Center Lower Level, Wichita, KS 67218-3232 | 2013-02-21 |
| 1952532202 | The Human Enhancement Learning Program of Servants Inc. | Clinic/Center | 400 N 6th St, Kansas City, KS 66101-3135 | 2009-08-05 |
| 1184878043 | Assessment for Direction | Clinic/Center | 2404 Se Kentucky Ave, Topeka, KS 66605-1379 | 2008-11-05 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1518159938 | Finney County | Clinic/Center | 601 N Main St Ste A, Garden City, KS 67846-5468 | 2007-08-10 |
| 1477754836 | Thomas County Alcohol and Drug Abuse Council, Inc. | Clinic/Center | 1523 W 4th St, Colby, KS 67701-1542 | 2007-05-31 |
| 1821113663 | Knox Center, Inc. | Clinic/Center | 2924 E Douglas Ave, Wichita, KS 67214-4709 | 2007-03-20 |
| 1114065489 | Substance Abuse Assessment Ctr | Clinic/Center | 731 N Water St, Ste 2, Wichita, KS 67203-3853 | 2007-02-01 |
| 1790879534 | New Freedom Inc | Clinic/Center | 1600 Skyway, Atchison, KS 66002 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.