ATTICA DISTRICT HOSPITAL DISTRICT #1 (NPI# 1972657468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972657468 |
| Entity Type | Organization |
| Organization Name | ATTICA DISTRICT HOSPITAL DISTRICT #1 |
| Practice Address |
302 N Botkin St Attica KS 67009-9032 |
| Practice Telephone | 6202547253 |
| Practice Fax Number | 6202547629 |
| Mailing Telephone | 6202547253 |
| Mailing Fax Number | 6202547629 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUDY A. BANE (ADMINISTRATOR) |
| Authorized Official Telephone | 6202547253 |
| Authorized Official Credential | R.N.,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
N039003 | KS | Nursing & Custodial Care Facilities |
| Street Address |
302 N BOTKIN ST |
| City | ATTICA |
| State | KS |
| Zip Code | 67009-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417910969 | Hospital District 5 of Harper County Kansas | Clinic/Center | 302 N Botkin St, Attica, KS 67009-9032 | 2006-04-07 |
| 1689193823 | Hospital District No 6 of Harper County Kansas | Clinic/Center | 302 N Botkin St, Attica, KS 67009-9032 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801129580 | Unified School District No. 511 | Non-Pharmacy Dispensing Site | 718 N Main St, Attica, KS 67009-7002 | 2009-09-11 |
| 1497137178 | Faith Nilsen | Physical Therapy Assistant | 572 Nw 100 Ave, Attica, KS 67009-8803 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121638 | Carolyn Trueblood | Nutritionist | 281 E Covered Bridge Rd, Attica, IN 47918-8065 | 2020-07-20 |
| 1609498252 | Healing & Growth LLC | Community/Behavioral Health | 2887 N Lake Pleasant Rd, Attica, MI 48412-9007 | 2020-05-16 |
| 1093341778 | Lauren Elizabeth Budreau | Nurse Practitioner | 3671 N Lake Pleasant Rd, Attica, MI 48412-9000 | 2020-03-13 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1689219354 | Kalyn Synesael | Registered Nurse | 1107 S Brady St, Attica, IN 47918-1719 | 2019-11-16 |
| 1790341840 | Carrie Rengert | Licensed Practical Nurse | 29 Northview Park, Attica, NY 14011-1111 | 2019-05-14 |
| 1801364633 | Mariano Joseph Loverde Jr. | Peer Specialist | 17 Meadow Ln, Attica, NY 14011-1246 | 2018-11-09 |
| 1205312758 | Baley Mallon | Licensed Practical Nurse | 6 Main St Apt B, Attica, NY 14011-1064 | 2018-07-18 |
| 1932615978 | Steffi Christine Rayburn | Specialist/Technologist | 757 E State Road 55, Attica, IN 47918-8006 | 2017-12-27 |
| 1629426150 | Elizabeth Stradinger | Technician, Other | 598 N Five Lakes Rd, Attica, MI 48412-9735 | 2016-05-25 |
| Find all providers in ATTICA | ||||
| 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 |
| 1518470186 | Rl Dodge City 1 | Custodial Care Facility | 2800 6th Ave, Dodge City, KS 67801-2478 | 2017-11-06 |
| 1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
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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.