MEDICALODGES, INC. (NPI# 1689755522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689755522 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | GRAN VILLAS NEODESHA |
| Practice Address |
400 Fir St Neodesha KS 66757-1298 |
| Practice Telephone | 6203252244 |
| Practice Fax Number | 6203252762 |
| Mailing Telephone | 6203252244 |
| Mailing Fax Number | 6203252762 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6202516700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | N103005 | KS | Agencies |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | N103005 | KS | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
N103005 | KS | Suppliers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
N103005 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100026530V | 05 | |
| KS | 100068170D | 05 |
| Other Name | Type Code |
|---|---|
| Gran Villas Neodesha | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
| 1437410651 | Medicalodges, Inc. | Assisted Living Facility | 1004 E Centennial Dr, Pittsburg, KS 66762-6565 | 2012-06-05 |
| 1316017544 | Medicalodges, Inc. | Home Health | 420 W Lyon Dr, Neosho, MO 64850-9194 | 2006-11-08 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| 1336228394 | Medicalodges, Inc. | Home Health | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2006-11-02 |
| 1255417614 | Medicalodges, Inc. | Skilled Nursing Facility | 201 W 8th St, Coffeyville, KS 67337-5807 | 2006-10-28 |
| 1083799613 | Medicalodges, Inc. | Case Management | 821 W 3rd St, Valley Center, KS 67147-2417 | 2006-10-25 |
| 1437233855 | Medicalodges, Inc. | Skilled Nursing Facility | 2 E Ash St, Herington, KS 67449-1662 | 2006-10-24 |
| 1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 2006-10-18 |
| 1154402147 | Medicalodges, Inc. | Clinic/Center | 1635 Riley St, Atchison, KS 66002-1518 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICALODGES, INC. | 201 W 8th St, Coffeyville, KS 67337-5807 |
| Oklahoma Business Registrations | MEDICALODGES, INC. | P O Box 509, Coffeyville, KS 67337 |
| Street Address |
400 FIR ST |
| City | NEODESHA |
| State | KS |
| Zip Code | 66757-1298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782402 | Morningstar Care Homes of Neodesha LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2017-07-12 |
| 1174988711 | Cpf Senior Living - Neodesha LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2015-12-28 |
| 1558519785 | Vintage Park At Neodesha, LLC | Assisted Living Facility | 400 Fir St, Neodesha, KS 66757-1298 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205091378 | Aric Chandler Ross | Respiratory Therapist, Certified | 1943 Ottawa Rd, Neodesha, KS 66757 | 2008-07-28 |
| 1154543981 | Grene Vision Group LLC | Ophthalmology | 611 N Main, Neodesha, KS 66757 | 2007-05-02 |
| 1225155799 | New Beginnings Enterprises | Case Management | 1001 Wilson, Neodesha, KS 66757 | 2007-03-22 |
| 1679524771 | Ggnsc Neodesha LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2006-05-13 |
| 1760031751 | Neodesha Operator, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-09-11 |
| 1265991616 | Darla Hoard | Occupational Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2019-03-15 |
| 1659828598 | Neodesha Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 1626 N 8th St, Neodesha, KS 66757-1239 | 2016-09-08 |
| 1912244294 | Jackie F Reding | Physical Therapy Assistant | 1626 N 8th St, Neodesha, KS 66757-1239 | 2013-01-07 |
| 1821347956 | Roxie Nicole Drawdy | Speech-Language Pathologist | 1626 N 8th St, Neodesha, KS 66757-1239 | 2012-09-05 |
| 1033186945 | Dwight E Blackwood | Optometrist | 611 Main St, Neodesha, KS 66757-1632 | 2006-03-01 |
| Find all providers in zip 66757 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989432 | Rice County Assisted Living LLC | Clinic/Center | 502 S Miles Ave, Lyons, KS 67554-3008 | 2018-10-24 |
| 1477949196 | Midland Care Connection, Inc. | Clinic/Center | 130 Sw Frazier Ave, Topeka, KS 66606-2812 | 2015-04-09 |
| 1265823116 | Sunflower Adult Day Services, Incorporated | Clinic/Center | 401 W Iron Ave, Salina, KS 67401-2563 | 2015-02-13 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1851728695 | Kc Adult Recreation Center Inc. | Clinic/Center | 1109 N 5th St, Kansas City, KS 66101-2305 | 2013-10-10 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1801173067 | Caring Hearts Adult Day Center,inc. | Clinic/Center | 1234 State Ave, Kansas City, KS 66102-4413 | 2011-11-15 |
| 1033265103 | Douglas County Senior Services, Inc. | Clinic/Center | 745 Vermont St, Lawrence, KS 66044-2371 | 2007-01-25 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| 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.