SERC OF JOHNSON COUNTY, L.L.C. (NPI# 1801002035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801002035 |
| Entity Type | Organization |
| Organization Name | SERC OF JOHNSON COUNTY, L.L.C. |
| Other Organization Name | SERC OF OLATHE, SERC OF SHAWNEE |
| Practice Address |
13095 S Mur Len Rd Suite 170 Olathe KS 66062-1230 |
| Practice Telephone | 9137827733 |
| Practice Fax Number | 9137827209 |
| Mailing Telephone | 9137827733 |
| Mailing Fax Number | 9137827209 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBYN S STONE (OWNER, MANAGER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9137827734 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
KS | Suppliers |
| Other Name | Type Code |
|---|---|
| SERC of Olathe, SERC of Shawnee | Doing Business As Name - Organization |
| Street Address |
13095 S MUR LEN RD SUITE 170 |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568404770 | Nick A. Prater | Dentist | 13095 S Mur Len Rd, Suite 160, Olathe, KS 66062-1230 | 2006-06-12 |
| 1275817082 | Dulin Chiropractic, Pa | Chiropractor | 13095 S Mur Len Rd, Ste 170, Olathe, KS 66062-1425 | 2011-09-29 |
| 1205122900 | Miley Chiropractic, Pa | Chiropractor | 13095 S Mur Len Rd, Ste #170, Olathe, KS 66062-1425 | 2011-06-22 |
| 1598873697 | Kim Paulette Miley | Chiropractor | 13095 S Mur Len Rd, Ste 170, Olathe, KS 66062-1250 | 2006-08-28 |
| 1548205958 | Kara A Jansen | Physical Therapy Assistant | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1230 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568530046 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 805 N Meadowbrook Dr, Olathe, KS 66062-5443 | 2006-12-01 |
| 1568461879 | Advacare Medical Corp | Durable Medical Equipment & Medical Supplies | 14801 W 117th St, Olathe, KS 66062-9305 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485123 | Douglas Myers | Durable Medical Equipment & Medical Supplies | 210 E 30th Ave Ste 120, Hutchinson, KS 67502-2463 | 2019-12-26 |
| 1861958530 | Res-care Kansas, Inc | Durable Medical Equipment & Medical Supplies | 3000 Pecanwood Dr, Manhattan, KS 66502-2208 | 2019-02-18 |
| 1396200663 | Valerie C Wondra | Durable Medical Equipment & Medical Supplies | 301 S Meridian Ave Rm 113, Wichita, KS 67213-2629 | 2019-01-31 |
| 1215437397 | Brace Yourself | Durable Medical Equipment & Medical Supplies | 1510 Taylor Plz E, Garden City, KS 67846-4055 | 2018-02-15 |
| 1972912392 | Green's Home Improvement LLC | Durable Medical Equipment & Medical Supplies | 1508 Sw 41st St, Topeka, Topeka, KS 66609-1200 | 2014-08-11 |
| 1821411497 | Hotasan Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 6602 E Harry St, Wichita, KS 67207-2962 | 2014-02-01 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1447672571 | Heartland O&p, Inc | Durable Medical Equipment & Medical Supplies | 919 Westport Pl, Manhattan, KS 66502-2913 | 2014-01-08 |
| 1902238702 | Wmk Enterprises LLC | Durable Medical Equipment & Medical Supplies | 14719 W 114th Ter, Lenexa, KS 66215-4882 | 2013-08-02 |
| 1043597784 | West Side Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 602 N Webb Rd Ste 108, Wichita, KS 67206-1803 | 2011-11-09 |
| 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.