RL MAIZE CT 2 (NPI# 1740552454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740552454 |
| Entity Type | Organization |
| Organization Name | RL MAIZE CT 2 |
| Practice Address |
625 S. Maize Ct Wichita KS 67209-2207 |
| Practice Telephone | 3169922119 |
| Mailing Telephone | 3169922119 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | MRS. SUSAN KAY ENGELS (OWNER/OPERATOR) |
| Authorized Official Telephone | 3169922119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B087188 | KS | Nursing & Custodial Care Facilities |
| Street Address |
625 S. MAIZE CT |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2207 |
| 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 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 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 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971648 | Tracy Delois Allen | Custodial Care Facility | 2734 N Wellesley Ave, Wichita, KS 67220-2408 | 2020-08-04 |
| 1952962870 | Harmony House Home Plus LLC | Custodial Care Facility | 400 N Peterson Ave, Wichita, KS 67212-3732 | 2019-06-21 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
| 1861932766 | Advanced Care Home Plus LLC | Custodial Care Facility | 5501 Polo Dr, Wichita, KS 67208-2753 | 2017-02-27 |
| 1477912913 | Christ Care Home Plus LLC | Custodial Care Facility | 7901 W Jennie St, Wichita, KS 67212-3537 | 2016-02-11 |
| 1457740557 | Rainbow Care Homes LLC | Custodial Care Facility | 303 N Tyler Rd, Wichita, KS 67212-3601 | 2015-01-13 |
| 1710382692 | Vista Park Senior Living | Custodial Care Facility | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2014-11-04 |
| 1235541525 | Residence Begonia Home Plus LLC | Custodial Care Facility | 8327 E Zimmerly St, Wichita, KS 67207-3256 | 2014-05-21 |
| 1528488822 | Paula Denise Carter | Custodial Care Facility | 5701 E 17th St N, Wichita, KS 67208-1703 | 2014-04-24 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on RL MAIZE CT 2.
| 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.