REFLECTION LIVING, LLC (NPI# 1306038542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306038542 |
| Entity Type | Organization |
| Organization Name | REFLECTION LIVING, LLC |
| Practice Address |
1377 N Iroquois Rd Wichita KS 67203-4623 |
| Mailing Address |
522 S Stoney Point St Wichita KS 67209-3540 |
| Practice Telephone | 3169922119 |
| Practice Fax Number | 3164404224 |
| Mailing Telephone | 3169922119 |
| Mailing Fax Number | 3164404224 |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2007-08-12 |
| Authorized Official Name | SUSAN KAY ENGELS (OWNER/OPERATOR) |
| Authorized Official Telephone | 3169922119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B087146 | KS | Nursing & Custodial Care Facilities |
| Street Address |
1377 N IROQUOIS RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| 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 | ||||
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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.