VIA CHRISTI VILLAGE PITTSBURG INC (NPI# 1285637884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285637884 |
| Entity Type | Organization |
| Organization Name | VIA CHRISTI VILLAGE PITTSBURG INC |
| Other Organization Name | CORNERSTONE VILLAGE, INC. |
| Practice Address |
1502 E Centennial Dr Pittsburg KS 66762-6718 |
| Practice Telephone | 6202350020 |
| Practice Fax Number | 6202350520 |
| Mailing Telephone | 6202350020 |
| Mailing Fax Number | 6202350520 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-09-26 |
| Authorized Official Name | MISS MELINDA EWAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6202350020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | N019013 | KS | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | N019013 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | HCBS | 100455940B | 01 |
| KS | 100455940A | 05 |
| Other Name | Type Code |
|---|---|
| Cornerstone Village, Inc. | Former Legal Business Name - Organization |
| Street Address |
1502 E CENTENNIAL DR |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-6718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962963009 | Sean Gilmore | Speech-Language Pathologist | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2019-03-29 |
| 1467924563 | Lora L Nance | Occupational Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2018-12-30 |
| 1063890788 | Paula Kay Schultz | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2015-05-14 |
| 1780027540 | Lauren Farrow | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2013-04-11 |
| 1124362496 | Tobi Ohara | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2012-11-26 |
| 1154665669 | Debra Mae Clark | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2012-11-21 |
| 1477756021 | Sandra Mcardle | Speech-Language Pathologist | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2007-06-08 |
| 1740497528 | Ryan William Niederklein | Physical Therapist | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 1780771717 | Medicalodges, Inc. | Skilled Nursing Facility | 2520 S Rouse St, Pittsburg, KS 66762-6605 | 2006-10-10 |
| 1568559623 | Medicalodges, Inc. | Skilled Nursing Facility | 2614 N Joplin St, Pittsburg, KS 66762-2643 | 2006-10-09 |
| 1083665194 | Ggnsc Pittsburg LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2006-05-13 |
| 1578112561 | Pittsburg Operator, LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2019-09-11 |
| 1962975011 | City of Ennis | Skilled Nursing Facility | 123 Pecan Blvd, Pittsburg, TX 75686-1816 | 2019-01-10 |
| 1639627268 | Pittsburg Care and Rehabilitation Center, LLC | Skilled Nursing Facility | 1005 E Centennial Dr, Pittsburg, KS 66762-6603 | 2016-09-12 |
| 1083019657 | Pittsburg Skilled Nursing Group, Inc. | Skilled Nursing Facility | 535 School St, Pittsburg, CA 94565-3937 | 2014-10-24 |
| 1457471401 | Ssc Pittsburg Operating Company Lp | Skilled Nursing Facility | 2351 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-03-30 |
| 1922110378 | Pittsburg Care Center Inc | Skilled Nursing Facility | 535 School St, Pittsburg, CA 94565-3937 | 2006-08-31 |
| 1144241738 | Ascension Via Christi Hospital Pittsburg, Inc. | Skilled Nursing Facility | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2006-07-21 |
| Find all providers in PITTSBURG | ||||
Please comment or provide details below to improve the information on VIA CHRISTI VILLAGE PITTSBURG INC.
| 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.