SULLIVAN GANG CARE CENTER (NPI# 1225246317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225246317 |
| Entity Type | Organization |
| Organization Name | SULLIVAN GANG CARE CENTER |
| Practice Address |
6719 W. Douglas Circle Wichita KS 67209 |
| Mailing Address |
6404 E. Pepperwood Ct. Wichita KS 67226 |
| Practice Telephone | 3168384862 |
| Practice Fax Number | 3162622970 |
| Mailing Telephone | 3168384862 |
| Mailing Fax Number | 3162622970 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | MR. GREGORY D. SULLIVAN (OWNER) |
| Authorized Official Telephone | 3165166242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
100417670A | KS | Nursing Service Related Providers |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 100417670A | KS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100417670A | 05 |
| Street Address |
6719 W. DOUGLAS CIRCLE |
| City | WICHITA |
| State | KS |
| Zip Code | 67209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1649355975 | Eye Associates of Wichita Pa | Optometrist | 4600 W Kellogg, Suite 215, Wichita, KS 67209 | 2006-10-26 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360966 | Winning Out Loud LLC | Day Training, Developmentally Disabled Services | 2620 E 21st St N, Wichita, KS 67214-2248 | 2019-11-15 |
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1194170274 | Dream Vision LLC | Day Training, Developmentally Disabled Services | 1655 S Michelle Ct, Wichita, KS 67207-6547 | 2016-04-26 |
| 1801201355 | Strive | Day Training, Developmentally Disabled Services | 2727 N Amidon Ave, 404, Wichita, KS 67204-4900 | 2014-06-24 |
| 1871923094 | Apple Services | Day Training, Developmentally Disabled Services | 3815 E English St, Wichita, KS 67218-1215 | 2013-11-25 |
| 1699105023 | Paradigm Services Inc | Day Training, Developmentally Disabled Services | 344 N Wabash Ave, Wichita, KS 67214-3948 | 2013-11-21 |
| 1043649965 | Alpha House | Day Training, Developmentally Disabled Services | 3207 Chatfield Pl, Wichita, KS 67208-3206 | 2013-11-01 |
| 1538509104 | The Looking Glass Day Services | Day Training, Developmentally Disabled Services | 602 S Chautauqua Ave, Wichita, KS 67211-3007 | 2013-06-27 |
| 1700222734 | Wichita Tran4mation LLC | Day Training, Developmentally Disabled Services | 1217 S Linden St, Wichita, KS 67207-3644 | 2013-05-16 |
| 1184867194 | People First Employment and Residential Services | Day Training, Developmentally Disabled Services | 1519 E Pawnee St, Wichita, KS 67211-5242 | 2009-04-07 |
| 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.