GRACIOUS SENIOR LIVING, LLC (NPI# 1669782231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669782231 |
| Entity Type | Organization |
| Organization Name | GRACIOUS SENIOR LIVING, LLC |
| Practice Address |
551 S. Holland Wichita KS 67209 |
| Mailing Address |
3825 E. Harry Wichita KS 67218-3722 |
| Practice Telephone | 3167717316 |
| Practice Fax Number | 3167717319 |
| Mailing Telephone | 3167717316 |
| Mailing Fax Number | 3167717319 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | CHRISTINE BACCI (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3167717316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | B087171 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE NURSING HOME LICENSE | B087171 | 01 |
| Street Address |
551 S. HOLLAND |
| City | WICHITA |
| State | KS |
| Zip Code | 67209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| 1649355975 | Eye Associates of Wichita Pa | Optometrist | 4600 W Kellogg, Suite 215, Wichita, KS 67209 | 2006-10-26 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1972815652 | Sunflower Meadows #1 | Nursing Facility/Intermediate Care Facility | 649 N Stratford Ln, Wichita, KS 67206-1529 | 2010-07-09 |
| 1225285984 | Comfortcare Homes, Inc. | Nursing Facility/Intermediate Care Facility | 219 S Morningside St, Wichita, KS 67218-1813 | 2008-08-25 |
| 1841475340 | Tender Loving Care By Tuten Inc. | Nursing Facility/Intermediate Care Facility | 5502 Polo Dr, Wichita, KS 67208-2752 | 2008-01-02 |
| 1487860763 | Kansas Healthcare Leasing Inc. | Nursing Facility/Intermediate Care Facility | 2840 S Hillside St, Wichita, KS 67216-2544 | 2007-05-15 |
| 1184742660 | Abal Homes, Inc. | Nursing Facility/Intermediate Care Facility | 228 N Winterset St, Wichita, KS 67212-6377 | 2007-03-26 |
| 1023155272 | Mothers & Others Inc | Nursing Facility/Intermediate Care Facility | 234 S Anna St, Wichita, KS 67209-2404 | 2007-01-30 |
| 1386016095 | Emerald Seniors LLC | Nursing Facility/Intermediate Care Facility | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-10-21 |
| 1679814610 | Premier Living By Warden LLC | Nursing Facility/Intermediate Care Facility | 234 S Anna St, Wichita, KS 67209-2404 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1083832414 | Rn Care Services, Inc. | Nursing Facility/Intermediate Care Facility | 505 S 1st St, Hiawatha, KS 66434-2702 | 2007-04-23 |
| 1770701112 | Rn Care Service's, Inc. | Nursing Facility/Intermediate Care Facility | 725 Iowa Ave, Holton, KS 66436-1628 | 2007-04-23 |
| 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.