PRECIOUS GEMS HOMES @ POLO DR (NPI# 1942800198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942800198 |
| Entity Type | Organization |
| Organization Name | PRECIOUS GEMS HOMES @ POLO DR |
| Practice Address |
5502 Polo Dr Wichita KS 67208-2752 |
| Practice Telephone | 7743614056 |
| Mailing Telephone | 7743614056 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | SYREETA DWEH-CHENNEH (NURSE/OPERATION) |
| Authorized Official Telephone | 1774361405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Precious Gems Homes @ Polo Dr | Other Name - Individual/Organization |
| Street Address |
5502 POLO DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841475340 | Tender Loving Care By Tuten Inc. | Nursing Facility/Intermediate Care Facility | 5502 Polo Dr, Wichita, KS 67208-2752 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| 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 | ||||
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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.