GOLDEN BOOMERS HOME PLUS LLC (NPI# 1215302278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215302278 |
| Entity Type | Organization |
| Organization Name | GOLDEN BOOMERS HOME PLUS LLC |
| Practice Address |
6953 E Kentford Cir Wichita KS 67226-1026 |
| Mailing Address |
9306 E Carson St Wichita KS 67210-2430 |
| Practice Telephone | 3167303110 |
| Mailing Telephone | 3167303110 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | CHRISTINE NGUYEN (CEO, OPERATOR) |
| Authorized Official Telephone | 3167303110 |
| Authorized Official Credential | OPERATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 365 | KS | Nursing & Custodial Care Facilities |
| Street Address |
6953 E KENTFORD CIR |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| 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 |
| 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 |
| 1770865321 | Lcd Unlimited, Inc | Assisted Living Facility | 1229 S. Byron Rd, Wichita, KS 67209-1811 | 2011-09-09 |
| 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.