DEER PARK SENIOR GROUP HOME INC. (NPI# 1306965058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306965058 |
| Entity Type | Organization |
| Organization Name | DEER PARK SENIOR GROUP HOME INC. |
| Practice Address |
6313 Hwy K4 Meriden KS 66512 |
| Practice Telephone | 7854840100 |
| Mailing Telephone | 7854840100 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LINTON (OWNER) |
| Authorized Official Telephone | 7854840100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | B044001 | KS | Nursing & Custodial Care Facilities |
| Street Address |
6313 HWY K4 |
| City | MERIDEN |
| State | KS |
| Zip Code | 66512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681954 | Rachel Wilson | Nurse Practitioner | 100 E Main St., Meriden, KS 66512 | 2018-09-06 |
| 1669851978 | Fw Huston Pharmacy of Meriden | Pharmacy | 7210 Ks-4 Highway, D, Meriden, KS 66512 | 2015-05-20 |
| 1518002849 | Kelly Dawn Kuhn | Marriage & Family Therapist | 7272 K-4 Highway, Suite Cc, Meriden, KS 66512 | 2007-02-21 |
| 1104909399 | Ali L Lyons Currie | Chiropractor | 7210 Hwy K-4, Suite D, Meriden, KS 66512 | 2006-10-23 |
| 1588792246 | Meriden Home Care | Home Health | 7210 Ks Hwy 4, Suite C, Meriden, KS 66512-0363 | 2007-03-02 |
| 1548488117 | Ruth M Wood | Technician | 4082 122nd St, Meriden, KS 66512-8720 | 2007-04-21 |
| 1457579021 | Roger W Wood | Technician | 4082 122nd St, Meriden, KS 66512-8720 | 2007-04-21 |
| 1710105382 | April K Boatwright | Technician | 4082 122nd St, Meriden, KS 66512-8720 | 2007-04-21 |
| 1184842759 | Leota Fay Martin | Technician | 12056 Meriden Rd, Meriden, KS 66512-8722 | 2007-04-21 |
| 1306230453 | Daina Smith | Pharmacist | 8023 K4 Hwy, Meriden, KS 66512-9052 | 2015-03-26 |
| Find all providers in zip 66512 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174806350 | Hearts of Love LLC | Custodial Care Facility | 1714 S Smithmoor St, Wichita, KS 67207-7759 | 2011-09-23 |
| 1780708297 | Glenwood Estate | Custodial Care Facility | 621 S 2nd St, Independence, KS 67301-4311 | 2007-03-19 |
| 1821135815 | St Joseph Memorial Hospital Inc | Custodial Care Facility | 923 Carroll Ave, Larned, KS 67550-2429 | 2007-01-31 |
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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.