MEDICALODGES, INC. (NPI# 1700067279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700067279 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | MEDICALODGES EUDORA |
| Practice Address |
1415 Maple St Eudora KS 66025-9419 |
| Practice Telephone | 7855422176 |
| Practice Fax Number | 7855422177 |
| Mailing Telephone | 7855422176 |
| Mailing Fax Number | 7855422177 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6202516700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N023003 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | ADULT CARE HOME LICENSE | N023003 | 01 |
| KS | 100107330I | 05 |
| Other Name | Type Code |
|---|---|
| Medicalodges Eudora | 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 |
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| 1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 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 |
1415 MAPLE ST |
| City | EUDORA |
| State | KS |
| Zip Code | 66025-9419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272014 | Eudora Development Co., Inc. | Nursing Facility/Intermediate Care Facility | 1415 Maple St, Eudora, KS 66025-9419 | 2005-08-15 |
| 1437303633 | Kimberly A Squire | Physical Therapist | 1415 Maple St, Eudora, KS 66025-9419 | 2008-11-14 |
| 1063662666 | Raumie J Wilson | Physical Therapy Assistant | 1415 Maple St, Eudora, KS 66025-9419 | 2008-09-19 |
| 1871742262 | Carrie J Hartpence | Occupational Therapy Assistant | 1415 Maple St, Eudora, KS 66025-9419 | 2008-09-10 |
| 1417120668 | Rebecca J Stephens | Occupational Therapy Assistant | 1415 Maple St, Eudora, KS 66025-9419 | 2008-04-09 |
| 1619147212 | Kristen E Hayes | Physical Therapy Assistant | 1415 Maple St, Eudora, KS 66025-9419 | 2008-03-10 |
| 1164692752 | Susan E Schmidt | Occupational Therapy Assistant | 1415 Maple St, Eudora, KS 66025-9419 | 2008-03-10 |
| 1245400845 | Linda S Crabb | Occupational Therapist | 1415 Maple St, Eudora, KS 66025-9419 | 2008-03-10 |
| 1609929363 | Eudora Nursing Center | Nursing Facility/Intermediate Care Facility | 1415 Maple St, Eudora, KS 66025-9419 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639806 | Homestead of Eudora Operations LLC | Assisted Living Facility | 2725 Church Street, Eudora, KS 66025 | 2020-01-30 |
| 1396055901 | Lisa Suann Foltz | Physical Therapy Assistant | 924 Locust, Eudora, KS 66025 | 2010-10-15 |
| 1932410909 | Wellness Life Systems LLC | Durable Medical Equipment & Medical Supplies | 110 E 20th St, Eudora, KS 66025 | 2010-06-24 |
| 1205162468 | Michele Dubuisson | Social Worker | 2334 W. Lawrence Ave., Ste 212, Chicago, IL 66025 | 2009-10-22 |
| 1942678602 | Abbey Vieux-revell | Case Manager/Care Coordinator | 331 Stratton Cir, Eudora, KS 66025-7208 | 2015-09-10 |
| 1548609118 | Sean Scott Shire | Physical Therapist | 218 E 20th St Ste A, Eudora, KS 66025-7700 | 2013-06-17 |
| 1437227519 | Maribeth Lynn Orr | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2006-11-30 |
| 1689081838 | Lawrence Physicians LLC | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2014-07-21 |
| 1609041748 | Stacey Dines | Nurse Practitioner | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2008-04-29 |
| 1326219916 | Joseph H Hawkins | Family Medicine | 600 E 20th St Ste 200, Eudora, KS 66025-7801 | 2008-03-21 |
| Find all providers in zip 66025 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841152 | Minneapolis Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 815n Rothsay Street, Minneapolis, KS 67467 | 2020-11-06 |
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1144842287 | Logan County Senior Living Inc | Skilled Nursing Facility | 615 Price Ave, Oakley, KS 67748-2048 | 2020-05-12 |
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1235604752 | Nortonville Healthcare LLC | Skilled Nursing Facility | 412 Walnut St, Nortonville, KS 66060 | 2018-10-11 |
| 1700383759 | Ranch House Nursing Facility Operations LLC | Skilled Nursing Facility | 2900 N Campus Dr, Garden City, KS 67846-3997 | 2018-04-06 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1407355720 | Kingston Trilogy Holdings LLC | Skilled Nursing Facility | 1822 N Brunswick St, Wichita, KS 67212-1588 | 2018-02-02 |
| 1588162382 | Sunporch of Smith Center Inc | Skilled Nursing Facility | 920 E Kansas Ave, Smith Center, KS 66967 | 2018-01-26 |
| 1881104230 | Mount St Mary Inc | Skilled Nursing Facility | 3700 E Lincoln St, Wichita, KS 67218-2008 | 2017-10-11 |
| 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.