BRENDA LEE BACON (NPI# 1992821813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992821813 |
| Entity Type | Individual |
| Full Name | BRENDA LEE BACON |
| Credential | LPN |
| Practice Address |
401 N Woodlawn St Wellington KS 67152-2857 |
| Practice Telephone | 6203263556 |
| Practice Fax Number | 6208925843 |
| Mailing Telephone | 6203263556 |
| Mailing Fax Number | 6208925843 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | BO96011 | KS | Nursing & Custodial Care Facilities |
| Street Address |
401 N WOODLAWN ST |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1104179282 | Serenity: Senior Retreat Housing | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152-2857 | 2012-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| 1710536719 | Wellington Operator, LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2019-09-11 |
| Find all providers in zip 67152 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861230 | Allure A&l Inc | Assisted Living Facility | 13692 Carlton St, Wellington, FL 33414-7748 | 2020-11-08 |
| 1912543141 | Silverstone Harborchase Wellington Operating, LLC | Assisted Living Facility | 8785 Lake Worth Rd, Wellington, FL 33467-2433 | 2019-11-22 |
| 1225673601 | Personal Touch Family Home 2, LLC | Assisted Living Facility | 1451 The 12th Fairway, Wellington, FL 33414-5708 | 2019-11-09 |
| 1912476490 | Wellington Senior Paradise Corp | Assisted Living Facility | 896 Lemongrass Ln, Wellington, FL 33414-8254 | 2018-11-14 |
| 1306384326 | Hibiscus Palace II Assisted Living Facility LLC. | Assisted Living Facility | 12842 Buckland St, Wellington, FL 33414-6223 | 2017-02-09 |
| 1932658036 | Yvonne Lawrence | Assisted Living Facility | 13674 Staimford Dr, Wellington, FL 33414-8939 | 2016-09-29 |
| 1457808230 | Path of Life Assisted Living | Assisted Living Facility | 1240 Summerwood Cir, Wellington, FL 33414-5147 | 2016-09-08 |
| 1346600046 | Jonas Auguste | Assisted Living Facility | 1337 Pinetta Cir, Wellington, FL 33414-6015 | 2016-02-24 |
| 1962837351 | Taylors Adult Home Care Inc | Assisted Living Facility | 12450 Guilford Way, Wellington, FL 33414-4969 | 2013-09-05 |
| 1326470766 | Val's In Home Care,inc | Assisted Living Facility | 2646 Yarmouth Dr, Wellington, FL 33414-7649 | 2013-08-08 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
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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.