INDEPENDENT GUARDIAN LLC (NPI# 1114355476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114355476 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT GUARDIAN LLC |
| Practice Address |
550 S Estelle St Wichita KS 67211-2909 |
| Practice Telephone | 3168801742 |
| Mailing Telephone | 3168801742 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | AARON DECKINGER (OWNER) |
| Authorized Official Telephone | 3168801742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
200566240A | KS | Respite Care Facility |
| Street Address |
550 S ESTELLE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538495981 | All About You Health Care Services | Respite Care | 1207 W 42nd St S, Apt C, Wichita, KS 67217-4471 | 2009-10-20 |
| 1053840975 | Braden Alec Sullivan | Respite Care | 2258 N Lakeway Cir, Wichita, KS 67205 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659706190 | Alisha Kidd | Respite Care | 3304 W 144th St, Leawood, KS 66224-3655 | 2013-09-03 |
| 1255594644 | Robert Walker Ferebee | Respite Care | 10568 Century Ln, Overland Park, KS 66215-2272 | 2008-07-07 |
| 1831363324 | Life Patterns | Respite Care | 3625 Sw 29th St, Suite 202, Topeka, KS 66614-2061 | 2008-04-16 |
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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.