JUSTIN D HAGEDORN (NPI# 1225676679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225676679 |
| Entity Type | Individual |
| Full Name | JUSTIN D HAGEDORN |
| Practice Address |
505 S Broadway Ave Ste 205 Wichita KS 67202-3922 |
| Mailing Address |
8918 W. 21st St. N., Suite 200 #198 Wichita KS 67205 |
| Practice Telephone | 3166210180 |
| Mailing Telephone | 3166210180 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
505 S BROADWAY AVE STE 205 |
| City | WICHITA |
| State | KS |
| Zip Code | 67202-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077943 | Jdh Home Care | Home Health | 505 S Broadway Ave Ste 205, Wichita, KS 67202 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1043712912 | Creative Bliss Therapy | Counselor | 115 Waterman Street, Wichita, KS 67202 | 2018-03-06 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1912423823 | Jenni Harshbarger, Phd, P.a. | Clinic/Center | 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 | 2017-08-22 |
| 1336695287 | The Young Men's Christian Association of Wichita, Kansas | Health Educator | 402 N Market St, Wichita, KS 67202 | 2016-08-31 |
| 1699103739 | Nadine Reimer Penner | Social Worker | 313 S Market Street, Wichita, KS 67202 | 2013-10-29 |
| 1386992691 | Andrea Lynn Kasper-doggett | Social Worker | 100 S Market St Ste 2a, Wichita, KS 67202 | 2012-08-16 |
| 1679883318 | Carol Ann Knott | Registered Nurse | 909 N. Emporia, Wichita, KS 67202 | 2010-10-15 |
| 1851539431 | Peter Anthony Conrardy | Anesthesiology | 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 | 2009-02-04 |
| Find all providers in zip 67202 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359519 | Frances Redinger | Home Health | 1130 W Jewell St, Wichita, KS 67213-4233 | 2020-09-04 |
| 1780209882 | My Home Care LLC | Home Health | 1037 S Broadway Ave, Wichita, KS 67211-2232 | 2020-06-15 |
| 1588200901 | Assurance Home Health Care | Home Health | 801 E Douglas Ave, Wichita, KS 67202-3548 | 2019-11-20 |
| 1427606193 | My Home Health Care, LLC | Home Health | 1640 N Broadway Ave, Wichita, KS 67214-1119 | 2019-08-27 |
| 1174095822 | All About Home Health Care LLC. | Home Health | 1999 N Amidon Ave Ste 230, Wichita, KS 67203-2123 | 2018-12-19 |
| 1902372246 | Heritage LLC | Home Health | 12525 E Killarney Ct, Wichita, KS 67206-4162 | 2018-10-14 |
| 1326558149 | Wichita Home Health Care Group Inc | Home Health | 4601 E Douglas Ave Ste 332, Wichita, KS 67218-1031 | 2017-10-06 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1053769125 | Miracle Care Services LLC | Home Health | 1624 S Rutan Ave, Wichita, KS 67218-3918 | 2016-05-31 |
| 1225498827 | Comfort Springs Home Care Services, LLC | Home Health | 7701 E Kellogg Dr Ste 565, Wichita, KS 67207-1730 | 2016-02-25 |
| 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.