AZD DERBY, LLC (NPI# 1174120539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174120539 |
| Entity Type | Organization |
| Organization Name | AZD DERBY, LLC |
| Practice Address |
445 N Westview Dr Derby KS 67037-2228 |
| Mailing Address |
702 S Highway 6 Gretna NE 68028-7970 |
| Practice Telephone | 3167883739 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | NOAH KAMINER (MANAGER) |
| Authorized Official Telephone | 3167883739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
445 N WESTVIEW DR |
| City | DERBY |
| State | KS |
| Zip Code | 67037-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104775 | Lsl of Derby Ks LLC | Skilled Nursing Facility | 445 N Westview Dr, Derby, KS 67037-2228 | 2005-06-17 |
| 1174763437 | Jennifer Kay Hensley | Speech-Language Pathologist | 445 N Westview Dr, Derby, KS 67037-2228 | 2009-02-26 |
| 1851537336 | Nazanin Hessabi | Occupational Therapist | 445 N Westview Dr, Derby, KS 67037-2228 | 2009-01-05 |
| 1891969887 | Debbie M Deboard | Speech-Language Pathologist | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-04-22 |
| 1508037185 | James A Koch | Occupational Therapist | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-03-21 |
| 1780855346 | Kathrine K Simonsen | Physical Therapist | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-03-21 |
| 1801065347 | Shane M Mclaughlin | Physical Therapy Assistant | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-02-28 |
| 1306015029 | Kaileen K Hamblin | Physical Therapy Assistant | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-02-27 |
| 1851560510 | Jenna L Enochs | Physical Therapy Assistant | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-02-27 |
| 1396913448 | Joel D Thomas | Occupational Therapy Assistant | 445 N Westview Dr, Derby, KS 67037-2228 | 2008-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| 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 |
|---|---|---|---|---|
| 1316177959 | Derby Health & Rehabilitation | Skilled Nursing Facility | 731 Klein Cir, Derby, KS 67037-7011 | 2009-07-16 |
| 1144201344 | Spectrum Healthcare Derby, LLC | Skilled Nursing Facility | 210 Chatfield St, Derby, CT 06418-1150 | 2005-11-07 |
| 1730173741 | North Country Health Services Inc | Skilled Nursing Facility | 2853 Us Route 5, Derby, VT 05829-9629 | 2005-09-06 |
| 1932104775 | Lsl of Derby Ks LLC | Skilled Nursing Facility | 445 N Westview Dr, Derby, KS 67037-2228 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841152 | Minneapolis Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 815n Rothsay Street, Minneapolis, KS 67467 | 2020-11-06 |
| 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.