KEEPSAKE KOTTAGE, LLC (NPI# 1245652064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245652064 |
| Entity Type | Organization |
| Organization Name | KEEPSAKE KOTTAGE, LLC |
| Practice Address |
8801 W Bekemeyer Wichita KS 67212 |
| Mailing Address |
8801 W Bekemeyer St 8801 W Bekemeyer Wichita KS 67212-4115 |
| Practice Telephone | 3166504526 |
| Mailing Telephone | 3166504526 |
| Mailing Fax Number | 3166504526 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | KARI A CAMERON (OWNER/OPERATOR) |
| Authorized Official Telephone | 3166504526 |
| Authorized Official Credential | OPERATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B087201 | KS | Nursing & Custodial Care Facilities |
| Street Address |
8801 W BEKEMEYER |
| City | WICHITA |
| State | KS |
| Zip Code | 67212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1568702462 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10405 West 13th St, Wichita, KS 67212 | 2013-03-01 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971648 | Tracy Delois Allen | Custodial Care Facility | 2734 N Wellesley Ave, Wichita, KS 67220-2408 | 2020-08-04 |
| 1952962870 | Harmony House Home Plus LLC | Custodial Care Facility | 400 N Peterson Ave, Wichita, KS 67212-3732 | 2019-06-21 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
| 1861932766 | Advanced Care Home Plus LLC | Custodial Care Facility | 5501 Polo Dr, Wichita, KS 67208-2753 | 2017-02-27 |
| 1477912913 | Christ Care Home Plus LLC | Custodial Care Facility | 7901 W Jennie St, Wichita, KS 67212-3537 | 2016-02-11 |
| 1457740557 | Rainbow Care Homes LLC | Custodial Care Facility | 303 N Tyler Rd, Wichita, KS 67212-3601 | 2015-01-13 |
| 1710382692 | Vista Park Senior Living | Custodial Care Facility | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2014-11-04 |
| 1235541525 | Residence Begonia Home Plus LLC | Custodial Care Facility | 8327 E Zimmerly St, Wichita, KS 67207-3256 | 2014-05-21 |
| 1528488822 | Paula Denise Carter | Custodial Care Facility | 5701 E 17th St N, Wichita, KS 67208-1703 | 2014-04-24 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on KEEPSAKE KOTTAGE, LLC.
| 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.