THE NICOL HOME, INC. (NPI# 1104874973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104874973 |
| Entity Type | Organization |
| Organization Name | THE NICOL HOME, INC. |
| Practice Address |
303 E Buffalo St Glasco KS 67445-9386 |
| Practice Telephone | 7855682251 |
| Practice Fax Number | 7855682113 |
| Mailing Telephone | 7855682251 |
| Mailing Fax Number | 7855682113 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | MR. FRANCIS TATRO (ADMINISTRATOR) |
| Authorized Official Telephone | 7855682251 |
| Authorized Official Credential | ADM. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N015004 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100108540A | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 1567 | 01 |
| Street Address |
303 E BUFFALO ST |
| City | GLASCO |
| State | KS |
| Zip Code | 67445-9386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055661 | Justin Lee Weigel | Physical Therapy Assistant | 624 N. 2nd, Lincoln, KS 67445 | 2010-10-20 |
| 1326369877 | Claude J. Harwood | Family Medicine | 405 E Spaulding Ave, Glasco, KS 67445-3006 | 2010-06-18 |
| 1467779009 | Melissa Hyman | Case Manager/Care Coordinator | 401 E 2nd St, Glasco, KS 67445-9307 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871281 | Sherri Zeidler | Nursing Care | 65 York Street, Glasco, NY 12432-0287 | 2018-05-10 |
| 1619400827 | Beth Laub | Early Intervention Provider Agency | 90 Glasco Tpke, Glasco, NY 12432-9800 | 2017-04-05 |
| 1518356641 | Kelsa Shanley | Speech-Language Pathologist | 70 Plenty St., Glasco, NY 12432 | 2015-01-13 |
| 1326369877 | Claude J. Harwood | Family Medicine | 405 E Spaulding Ave, Glasco, KS 67445-3006 | 2010-06-18 |
| 1407000367 | Jessica Catherine Bartolotta | Speech-Language Pathologist | 212 Union St, Glasco, NY 12432 | 2008-11-05 |
| 1013310275 | Elaine Drucker | Massage Therapist | 200 Union St, Glasco, NY 12432 | 2014-10-02 |
| 1467779009 | Melissa Hyman | Case Manager/Care Coordinator | 401 E 2nd St, Glasco, KS 67445-9307 | 2010-04-21 |
| 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. |
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|---|---|---|---|---|
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| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1144842287 | Logan County Senior Living Inc | Skilled Nursing Facility | 615 Price Ave, Oakley, KS 67748-2048 | 2020-05-12 |
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1235604752 | Nortonville Healthcare LLC | Skilled Nursing Facility | 412 Walnut St, Nortonville, KS 66060 | 2018-10-11 |
| 1700383759 | Ranch House Nursing Facility Operations LLC | Skilled Nursing Facility | 2900 N Campus Dr, Garden City, KS 67846-3997 | 2018-04-06 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1407355720 | Kingston Trilogy Holdings LLC | Skilled Nursing Facility | 1822 N Brunswick St, Wichita, KS 67212-1588 | 2018-02-02 |
| 1588162382 | Sunporch of Smith Center Inc | Skilled Nursing Facility | 920 E Kansas Ave, Smith Center, KS 66967 | 2018-01-26 |
| 1881104230 | Mount St Mary Inc | Skilled Nursing Facility | 3700 E Lincoln St, Wichita, KS 67218-2008 | 2017-10-11 |
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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.