NDJJ CORP (NPI# 1851715510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851715510 |
Entity Type | Organization |
Organization Name | NDJJ CORP |
Other Organization Name | HOME AWAY FROM HOME |
Practice Address |
6403 E Marjore Wichita KS 67206 |
Mailing Address |
6403 E Marjorie St Wichita KS 67206-1421 |
Practice Telephone | 3162535788 |
Practice Fax Number | 3162016372 |
Mailing Telephone | 3162535788 |
Mailing Fax Number | 3162016372 |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |
Authorized Official Name | NICHOLE MARIE SEILER (OWNER/OPERATOR) |
Authorized Official Telephone | 3162535788 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B087202 | KS | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Home Away from Home | Doing Business As Name - Organization |
Street Address |
6403 E MARJORE |
City | WICHITA |
State | KS |
Zip Code | 67206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
1275886608 | Williamson Wellness Ctr | Rehabilitation Practitioner | 8340 E. 21st N., #900, Wichita, KS 67206 | 2012-10-23 |
Find all providers in zip 67206 |
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 |
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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.