ST. JOHNS, INC. (NPI# 1770636656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770636656 |
| Entity Type | Organization |
| Organization Name | ST. JOHNS, INC. |
| Other Organization Name | ST. JOHN'S VICTORIA |
| Practice Address |
701 7th St Victoria KS 67671-9527 |
| Practice Telephone | 7857352208 |
| Practice Fax Number | 7857352270 |
| Mailing Telephone | 7857352208 |
| Mailing Fax Number | 7857352270 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM J SLATER (VP FINANCE) |
| Authorized Official Telephone | 3169465215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | N026004 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FEDERAL PROVIDER NUMBER | 17E200 | 01 |
| Other Name | Type Code |
|---|---|
| St. John's Victoria | Other Name - Individual/Organization |
| Street Address |
701 7TH ST |
| City | VICTORIA |
| State | KS |
| Zip Code | 67671-9527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609184100 | Krista D. Braun | Physical Therapy Assistant | 701 7th St, Victoria, KS 67671 | 2010-09-17 |
| 1922207232 | Roselin Pfeifer | Occupational Therapy Assistant | 701 7th St, Victoria, KS 67671-9527 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306271275 | Delores Ann Schmeidler | Nurse Practitioner | 208 Mare Wagner Road, Victoria, KS 67671 | 2013-09-10 |
| 1073765277 | Maren K Moody | Nurse Practitioner | 208 Marc Wagner Drive, Victoria, KS 67671 | 2008-10-21 |
| 1841233913 | St. John's Inc. | Nurse Practitioner | 208 Marc Wagner Rd, Victoria, KS 67671 | 2006-06-14 |
| 1619123486 | Hickory Heights | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1202 Hickory St, Victoria, KS 67671-9310 | 2008-08-13 |
| 1891028353 | Usd 432 Victoria | Local Education Agency (LEA) | 804 Cathedral, Victoria, KS 67671-9413 | 2009-09-15 |
| 1609349844 | Golden Rule Health | Clinic/Center | 416 Main St, Victoria, KS 67671-9562 | 2019-01-10 |
| 1548636665 | First Care Clinic, Inc. | Clinic/Center | 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230278 | Stephanie Roddy | Registered Nurse | 74 Wally Ln, Victoria, TX 77905-3723 | 2020-09-23 |
| 1356957591 | Bradley Bomba | Registered Nurse | 302 Yosemite Dr, Victoria, TX 77904-3662 | 2020-09-22 |
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1538773163 | Regional Pathology Associates, Pllc | Clinical Medical Laboratory | 2709 N Ben Wilson St, Victoria, TX 77901-5728 | 2020-09-01 |
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1114536166 | Jennifer Foxell Bluntzer | Nurse Practitioner | 117 Andrew Dr, Victoria, TX 77904-2935 | 2020-07-27 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1205452885 | Amy Nicole Varela | Doula | 2701 Leary Ln Trlr 82, Victoria, TX 77901-2933 | 2020-06-19 |
| 1952925174 | Emily Ann Carroll | Registered Nurse | 2402 E Mimosa Ave, Victoria, TX 77901-3519 | 2020-06-03 |
| 1306478177 | Elizabeth Thompson | Licensed Vocational Nurse | 456 Price Rd, Victoria, TX 77905-2522 | 2020-02-10 |
| Find all providers in VICTORIA | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 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 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 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.