MEDICALODGES, INC. (NPI# 1407937352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407937352 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | GRAN VILLAS KANSAS CITY |
| Practice Address |
2111 E Washington St Fredonia KS 66736-1757 |
| Practice Telephone | 6203782329 |
| Practice Fax Number | 6203782792 |
| Mailing Telephone | 6203782329 |
| Mailing Fax Number | 6203782792 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6202516700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | N103004 | KS | Agencies |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | N103004 | KS | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
N103004 | KS | Suppliers |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
N103004 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100068170C | 05 | |
| KS | 100026530W | 05 |
| Other Name | Type Code |
|---|---|
| Gran Villas Kansas City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
| 1437410651 | Medicalodges, Inc. | Assisted Living Facility | 1004 E Centennial Dr, Pittsburg, KS 66762-6565 | 2012-06-05 |
| 1316017544 | Medicalodges, Inc. | Home Health | 420 W Lyon Dr, Neosho, MO 64850-9194 | 2006-11-08 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| 1336228394 | Medicalodges, Inc. | Home Health | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2006-11-02 |
| 1255417614 | Medicalodges, Inc. | Skilled Nursing Facility | 201 W 8th St, Coffeyville, KS 67337-5807 | 2006-10-28 |
| 1083799613 | Medicalodges, Inc. | Case Management | 821 W 3rd St, Valley Center, KS 67147-2417 | 2006-10-25 |
| 1437233855 | Medicalodges, Inc. | Skilled Nursing Facility | 2 E Ash St, Herington, KS 67449-1662 | 2006-10-24 |
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| 1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICALODGES, INC. | 201 W 8th St, Coffeyville, KS 67337-5807 |
| Oklahoma Business Registrations | MEDICALODGES, INC. | P O Box 509, Coffeyville, KS 67337 |
| Street Address |
2111 E WASHINGTON ST |
| City | FREDONIA |
| State | KS |
| Zip Code | 66736-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558883405 | Morningstar Care Homes, LLC | Assisted Living Facility | 2111 E Washington St, Fredonia, KS 66736-1757 | 2017-07-12 |
| 1447615083 | Cpf Senior Living - Fredonia LLC | Assisted Living Facility | 2111 E Washington St, Fredonia, KS 66736-1757 | 2015-12-28 |
| 1922256155 | Vintage Park At Fredonia, LLC | Assisted Living Facility | 2111 E Washington St, Fredonia, KS 66736-1757 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907622 | Grene Vision Group LLC | Ophthalmology | 1508 Madison, Fredonia, KS 66736 | 2007-05-04 |
| 1295828838 | Cherie Farrar Starbuck | Chiropractor | 432 N 7, Fredonia, KS 66736 | 2006-10-02 |
| 1528609666 | Southeast Kansas Nutrition LLC | Dietitian, Registered | 419 N 6th St Ste 16, Fredonia, KS 66736-1300 | 2019-09-30 |
| 1801029152 | Usd 484 Fredonia | Local Education Agency (LEA) | 300 N 6th St, Fredonia, KS 66736-1305 | 2009-09-02 |
| 1831168731 | Paul E. Sommer | Chiropractor | 427 N 6th St, Fredonia, KS 66736-1306 | 2006-03-14 |
| 1609856145 | Ronald Guy Cleverley | Dentist | 428 N 7th St, Fredonia, KS 66736-1315 | 2006-01-19 |
| 1225149586 | Home Town Health Care LLC | Home Health | 314 N 7th St, Fredonia, KS 66736-1337 | 2006-08-31 |
| 1912379389 | Southeast Kansas Diabetes Education | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2015-10-26 |
| 1649601683 | Rachael Jean Shinkle | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2013-12-02 |
| 1013403633 | Jacob Dugan | Pharmacist | 628 Madison St, Fredonia, KS 66736-1338 | 2018-07-06 |
| Find all providers in zip 66736 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989432 | Rice County Assisted Living LLC | Clinic/Center | 502 S Miles Ave, Lyons, KS 67554-3008 | 2018-10-24 |
| 1477949196 | Midland Care Connection, Inc. | Clinic/Center | 130 Sw Frazier Ave, Topeka, KS 66606-2812 | 2015-04-09 |
| 1265823116 | Sunflower Adult Day Services, Incorporated | Clinic/Center | 401 W Iron Ave, Salina, KS 67401-2563 | 2015-02-13 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1851728695 | Kc Adult Recreation Center Inc. | Clinic/Center | 1109 N 5th St, Kansas City, KS 66101-2305 | 2013-10-10 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1801173067 | Caring Hearts Adult Day Center,inc. | Clinic/Center | 1234 State Ave, Kansas City, KS 66102-4413 | 2011-11-15 |
| 1033265103 | Douglas County Senior Services, Inc. | Clinic/Center | 745 Vermont St, Lawrence, KS 66044-2371 | 2007-01-25 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
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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.