PIONEER COMMUNITY CARE, INC. DBA PIONEER LODGE


Address: 300 W 3rd St, Coldwater, KS 67029-7300
Phone: 6205822123

PIONEER COMMUNITY CARE, INC. DBA PIONEER LODGE (NPI# 1831172154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831172154
Entity Type Organization
Organization Name PIONEER COMMUNITY CARE, INC. DBA PIONEER LODGE
Practice Address 300 W 3rd St
Coldwater
KS 67029-7300
Mailing Address Po Box 487
Coldwater
KS 67029-0487
Practice Telephone 6205822123
Practice Fax Number 6205822461
Mailing Telephone 6205822123
Mailing Fax Number 6205822461
Enumeration Date 2005-11-21
Last Update Date 2011-03-29
Authorized Official Name MRS. DIANA L. THOMPSON (ADMINSISTRATOR)
Authorized Official Telephone 6205822123
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility KS Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS N-017-001 05

Office Location

Street Address 300 W 3RD ST
City COLDWATER
State KS
Zip Code 67029-7300

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
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1649608282 Trudy Hansen Nursing Facility/Intermediate Care Facility 200 S 14th St, Parsons, KS 67357-4201 2013-10-16
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1194006213 Rehabcare Nursing Facility/Intermediate Care Facility 124 S Skyline Dr, Salina, KS 67401-1627 2011-09-01
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Competitor

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City COLDWATER
Zip Code 67029

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Dataset Information

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.

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