EMERALD SENIOR LIVING (NPI# 1669856720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669856720 |
| Entity Type | Organization |
| Organization Name | EMERALD SENIOR LIVING |
| Practice Address |
1226 S Byron Rd Wichita KS 67209-1812 |
| Practice Telephone | 3166184882 |
| Practice Fax Number | 3168691200 |
| Mailing Telephone | 3166184882 |
| Mailing Fax Number | 3168691200 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | LEANDRO SANLATE (OWNER) |
| Authorized Official Telephone | 3166184882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | KS | Managed Care Organizations |
| Street Address |
1226 S BYRON RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710382692 | Vista Park Senior Living | Custodial Care Facility | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2014-11-04 |
| 1386016095 | Emerald Seniors LLC | Nursing Facility/Intermediate Care Facility | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1811276405 | Evergreen Wellnes Center | Point of Service | 9235 E Harry St, Wichita, KS 67207-5073 | 2011-08-12 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1902023732 | Eyeworks Eyewear Shoppe | Point of Service | 245 N Hillside St, Wichita, KS 67214-4903 | 2007-04-20 |
| 1528454220 | Synatec Neuro, Inc | Point of Service | 4601 E Douglas Ave, Suite 116, Wichita, KS 67218-1031 | 2015-04-09 |
| 1972740843 | Reflection Ridge Dental, LLC | Point of Service | 7570 W 21st St N, 1050b, Wichita, KS 67205-1734 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| 1427350339 | Stephanie M Revels Md Pa | Point of Service | 8249 W 95 Th Street, Suite 108, Overland Park, KS 66212-3200 | 2010-11-29 |
| 1003958273 | Haven Supports, LLC | Point of Service | 920 E 8th St, Pittsburg, KS 66762-4302 | 2007-02-13 |
| 1871948497 | Sttt Dental Services LLC Corp | Point of Service | 120 W Osage St, Sedan, KS 67361-1518 | 2016-05-02 |
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1124386529 | Kaw Valley Hearing LLC | Point of Service | 1520 Wakarusa Dr, Suite B, Lawrence, KS 66047-1802 | 2012-04-24 |
| 1659566891 | Harvey Marion County Cddo | Point of Service | 500 N Main St, Suite 206, Newton, KS 67114-2211 | 2007-09-11 |
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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.