RESIDENCE BEGONIA II AT CRESTVIEW LLC (NPI# 1740840180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740840180 |
| Entity Type | Organization |
| Organization Name | RESIDENCE BEGONIA II AT CRESTVIEW LLC |
| Practice Address |
15 Crestview Lakes Est Wichita KS 67220-2913 |
| Mailing Address |
8714 E Harry Ct Wichita KS 67207-4616 |
| Practice Telephone | 3166165306 |
| Practice Fax Number | 3162016136 |
| Mailing Telephone | 3166165306 |
| Mailing Fax Number | 3162016136 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | BEATRICE TANG DISASI (CEO) |
| Authorized Official Telephone | 3166165306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KDADS | B087209 | 01 |
| Street Address |
15 CRESTVIEW LAKES EST |
| City | WICHITA |
| State | KS |
| Zip Code | 67220-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205191178 | The Meadows | Custodial Care Facility | 15 Crestview Lakes Est, Wichita, KS 67220-2913 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
| 1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| 1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
| 1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
| Find all providers in zip 67220 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908091 | Agape Home Plus LLC | Assisted Living Facility | 6322 Peach Tree Ln, Wichita, KS 67218-1820 | 2020-07-02 |
| 1497255111 | Almost-home Home Plus LLC | Assisted Living Facility | 5516 Polo Dr, Wichita, KS 67208-2752 | 2018-02-19 |
| 1003321696 | Grace Cottage LLC | Assisted Living Facility | 531 N Crestline St, Wichita, KS 67212-4618 | 2017-12-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1184173304 | Fusion Senior Care Homes Plus LLC | Assisted Living Facility | 512 N Bebe St, Wichita, KS 67212-2328 | 2016-09-29 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1215302278 | Golden Boomers Home Plus LLC | Assisted Living Facility | 6953 E Kentford Cir, Wichita, KS 67226-1026 | 2015-12-02 |
| 1710226147 | Meridian West - Chaucer LLC | Assisted Living Facility | 10550 E 21st St N, Wichita, KS 67206-3509 | 2013-02-05 |
| 1922347640 | Accord Senior Care Inc. | Assisted Living Facility | 6311 E. Marjorie, Wichita, KS 67208-3629 | 2013-02-01 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on RESIDENCE BEGONIA II AT CRESTVIEW LLC.
| 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.