PROVIDENCE LIVING CENTER, INC. (NPI# 1962489039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962489039 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE LIVING CENTER, INC. |
| Practice Address |
1112 Se Republican Ave Topeka KS 66607-1614 |
| Practice Telephone | 7852330588 |
| Practice Fax Number | 7852335603 |
| Mailing Telephone | 7852330588 |
| Mailing Fax Number | 7852335603 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACY L BARTLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7852733383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N089003 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 001359 | 01 |
| Street Address |
1112 SE REPUBLICAN AVE |
| City | TOPEKA |
| State | KS |
| Zip Code | 66607-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447881164 | Brighton Place Health Care, LLC | Skilled Nursing Facility | 1112 Se Republican Ave, Topeka, KS 66607-1614 | 2020-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105829 | Second Chance Services | Community/Behavioral Health | 501 Se Jefferson St Ste 32, Topeka, KS 66607-1173 | 2016-06-16 |
| 1750753026 | Life Connections | Social Worker | 305 Se 17th St, Suite C, Topeka, KS 66607-1266 | 2015-10-27 |
| 1609170836 | Sherry Clayton | Social Worker | 305 Se 17th St Ste C, Topeka, KS 66607-1266 | 2011-01-03 |
| 1205201043 | Kristin Menkveld | Social Worker | 305 Se 17th St, Suite C, Topeka, KS 66607-1266 | 2015-12-04 |
| 1114330115 | Lauren Fager | Nurse Practitioner | 620 Se Madison St, Topeka, KS 66607-1299 | 2014-06-06 |
| 1164651246 | Mid West Treatment and Recovey | Clinic/Center | 1921 Se Indiana Ave, Topeka, KS 66607-1425 | 2009-07-09 |
| 1730276924 | Thi of Kansas At Highland Park, LLC | Skilled Nursing Facility | 1821 Se 21st St, Topeka, KS 66607-1437 | 2006-10-07 |
| 1821305756 | Lori J Garcia | Skilled Nursing Facility | 1821 Se 21st St, Topeka, KS 66607-1437 | 2010-09-14 |
| 1487887659 | Heather Helton | Occupational Therapist | 1821 Se 21st St, Topeka, KS 66607-1437 | 2009-09-03 |
| 1679692990 | Pamela Roschel Robinett-ebert | Physical Therapist | 1821 Se 21st St, Topeka, KS 66607-1437 | 2007-03-28 |
| Find all providers in zip 66607 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396287215 | Kansas Senior Living Inc. | Skilled Nursing Facility | 6025 Sw 39th Ct, Topeka, KS 66610-1372 | 2016-11-09 |
| 1811352610 | Top City Healthcare, Inc. | Skilled Nursing Facility | 6300 Sw 6th Avenue, Topeka, KS 66615 | 2015-12-21 |
| 1770883704 | Washburn Community Care Center, LLC | Skilled Nursing Facility | 1334 Sw Buchanan St, Topeka, KS 66604-2813 | 2010-10-25 |
| 1962562785 | Lexington Park Nursing Operations, LLC | Skilled Nursing Facility | 1031 Sw Fleming Ct, Topeka, KS 66604 | 2006-12-11 |
| 1730276924 | Thi of Kansas At Highland Park, LLC | Skilled Nursing Facility | 1821 Se 21st St, Topeka, KS 66607-1437 | 2006-10-07 |
| 1386744696 | Mccrite Retirement Association | Skilled Nursing Facility | 1610 Sw 37th St, Topeka, KS 66611-2564 | 2006-09-25 |
| 1881798106 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 4712 Sw 6th Ave, Topeka, KS 66606-2272 | 2006-09-08 |
| 1083634919 | Austin Inc. | Skilled Nursing Facility | 2015 Se 10th Ave, Topeka, KS 66607-1615 | 2006-07-21 |
| 1497793178 | Manor Care of Topeka Ks LLC | Skilled Nursing Facility | 2515 Sw Wanamaker Rd, Topeka, KS 66614-5269 | 2006-06-03 |
| 1902893597 | Liberty Senior Living-n H L L C | Skilled Nursing Facility | 5015 Sw 28th St, Topeka, KS 66614-2319 | 2005-09-29 |
| Find all providers in TOPEKA | ||||
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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.