MEDICALODGES, INC. (NPI# 1790872620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790872620 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | MEDICALODGES POST ACUTE CARE CENTER |
| Practice Address |
6500 Greeley Ave Kansas City KS 66104-2647 |
| Practice Telephone | 9133340200 |
| Practice Fax Number | 9133344050 |
| Mailing Telephone | 9133340200 |
| Mailing Fax Number | 9133344050 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6207090305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N105008 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100107410A | 05 |
| Other Name | Type Code |
|---|---|
| Medicalodges Post Acute Care Center | 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 |
| Street Address |
6500 GREELEY AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66104-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013289982 | Simon Carl Skinner | Speech-Language Pathologist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2012-02-07 |
| 1063644938 | Justin Fricke | Physical Therapy Assistant | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2009-08-11 |
| 1023240959 | Bethany A Fredericks | Occupational Therapist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2009-08-11 |
| 1700016573 | Cara G Eckstein | Occupational Therapist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2009-07-15 |
| 1588804942 | Erin L Brown | Occupational Therapist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2009-02-25 |
| 1578708327 | Paul A Asher | Occupational Therapist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2008-12-09 |
| 1588813331 | Allison Christian | Physical Therapist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2008-09-17 |
| 1447412085 | Brian R Kopp | Physical Therapy Assistant | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2008-06-25 |
| 1497920987 | Tracy Siefken | Physical Therapy Assistant | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2008-04-25 |
| 1497928642 | Cassie Rand | Speech-Language Pathologist | 6500 Greeley Ave, Kansas City, KS 66104-2647 | 2008-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757078 | Jacob Thomas Brownback | Student in an Organized Health Care Education/Training Program | 4628 Lafayette Ave, Kansas City, KS 66104 | 2013-09-24 |
| 1649238221 | Vishal K Adma | Psychiatry & Neurology | 4300 Brenner Drive, Kansas City, KS 66104 | 2006-05-03 |
| 1629049929 | Josetta Eliese Wahwassuck | Nurse Practitioner | 4300 Brenner Dr, Kvc Prairie Ridge Hospital, Kansas City, KS 66104 | 2006-01-27 |
| 1093191017 | Kvc Hospitals Inc | Psychiatric Hospital | 4300 Brenner Drive, Kansas City, KS 66104 | 2015-07-31 |
| 1578876801 | Sadiq Naveed | Psychiatry & Neurology | 4300 Brenner Dr, Kansas City, KS 66104 | 2010-07-15 |
| 1750397733 | Joyce E Dorssom | Nurse Practitioner | 8919 Parallel Parkway, Suite 555, Kansas City, KS 66104 | 2006-07-31 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1205484219 | Sarah Diane Kassin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2019-09-03 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| 1639696743 | Jessica Collins Fairchilds | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-08-29 |
| Find all providers in zip 66104 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "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. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1356839203 | Northland Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 4301 Ne Parvin Rd, Kansas City, MO 64117-3001 | 2018-04-26 |
| 1972042190 | Tiffany Springs Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 9191 N Ambassador Drive, Kansas City, MO 64154 | 2017-02-21 |
| 1053733485 | Kansas City Transitional Care Center, LLC | Skilled Nursing Facility | 3910 Rainbow Blvd., Suite 400, Kansas City, KS 66103-2918 | 2014-01-21 |
| 1528249414 | Bridgewood Health Care Center, L.L.C. | Skilled Nursing Facility | 11515 Troost Avenue, Kansas City, MO 64131-3769 | 2007-11-19 |
| 1912129792 | Hope Care Center, Inc. | Skilled Nursing Facility | 115 E 83rd St, Kansas City, MO 64114-2537 | 2007-05-02 |
| 1891840559 | White Oaks Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 724 Ne 79th Ter, Kansas City, MO 64118-1564 | 2007-01-24 |
| 1871686394 | Garden Valley Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 8575 N Granby Ave, Kansas City, MO 64154 | 2006-10-02 |
| 1558461822 | Medicalodges, Inc. | Skilled Nursing Facility | 6261 Leavenworth Rd, Kansas City, KS 66104-1445 | 2006-09-25 |
| 1750485074 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 7850 Freeman Ave, Kansas City, KS 66112-2133 | 2006-09-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66104 |
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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.