RL DODGE CITY 1 (NPI# 1518470186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518470186 |
| Entity Type | Organization |
| Organization Name | RL DODGE CITY 1 |
| Practice Address |
2800 6th Ave Dodge City KS 67801-2478 |
| Practice Telephone | 6203713838 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | SUSAN ENGELS (MEMBER) |
| Authorized Official Telephone | 3169922119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
B029001 | KS | Nursing & Custodial Care Facilities |
| Street Address |
2800 6TH AVE |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| 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 |
| 1043841174 | Selah Home LLC | Custodial Care Facility | 15834 Sw Butler Rd, Rose Hill, KS 67133-8549 | 2020-01-28 |
| 1881238681 | Goshen Home Care Inc. | Custodial Care Facility | 9939 Foster St, Overland Park, KS 66212-2452 | 2019-11-05 |
| 1952962870 | Harmony House Home Plus LLC | Custodial Care Facility | 400 N Peterson Ave, Wichita, KS 67212-3732 | 2019-06-21 |
| 1508329905 | Karaway LLC | Custodial Care Facility | 1815 Sw Westwood Cir, Topeka, KS 66604-3269 | 2019-04-11 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1881175966 | Rl Fountainwood 2 | Custodial Care Facility | 2000 Fountainwood, Hutchinson, KS 67502-2662 | 2018-08-27 |
| 1306335328 | Anthem Overland Park Management, LLC | Custodial Care Facility | 6921 W 81st St, Overland Park, KS 66204-3913 | 2018-05-04 |
| 1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| Find all providers with the same taxonomy | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
Please comment or provide details below to improve the information on RL DODGE CITY 1.
| 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.