NPIMap

Organization Active NPI

Midland Care Connection, Inc.

  • PACE Provider Organization
  • Topeka, KS
National Provider Identifier
1053911875
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
MIDLAND CARE CONNECTION, INC.
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 232-2044
Fax
(785) 430-2307
NPI assigned
Oct 30, 2020
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Sullivan
Title
Chief Executive Officer & President
Phone
(785) 232-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

200 SW Frazier Cir
Topeka, KS 66606-2800

Mailing address

200 SW Frazier Cir
Topeka, KS 66606-2800
Phone (785) 232-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127003041 KS MDPP Supplier - in-Person MDPP Supplier 1557271715 Practice locations: Topeka, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Midland Care Connection Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

217 W Main St
Council Grove, KS 66846
Phone (620) 767-5774

319 Perry St
Lawrence, KS 66044
Phone (785) 842-3627

130 SW Frazier Ave
Topeka, KS 66606
Phone (785) 232-2044

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Care of VnaKansas City, MO, CCN 261686 Hospice 5% Or Greater Direct Ownership Interest Jul 1, 2024
Hospice Care of VnaOverland Park, KS, CCN 171617 Hospice 5% Or Greater Direct Ownership Interest Jul 1, 2024
Community Care Hospice LLCMcPherson, KS, CCN 171597 Hospice 5% Or Greater Direct Ownership Interest (8%)
Operational/Managerial Control (100%)		 Jun 30, 2023
Jun 30, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Community Care Hospice LLC
    • Community Based Hospice Care Agency
    • McPherson, KS
    • NPI 1588350037

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Vna Corporation

    dba Hospice Care of VNA

    • Community Based Hospice Care Agency
    • Overland Park, KS
    • NPI 1255962759

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Vna Corporation

    dba Hospice Care of VNA

    • Community Based Hospice Care Agency
    • Kansas City, MO
    • NPI 1073144572

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1053911875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044",
            "fax_number": "785-430-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044",
            "fax_number": "785-430-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CARE CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER & PRESIDENT",
        "authorized_official_telephone_number": "785-232-2044"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.