Prairie View Healthcare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

251G00000X Issued in KS

Legal business name

PRAIRIE VIEW HEALTHCARE, INC.

Practice address

4811 Lamar Ave Ste 4
Mission, KS 66202-1765

Phone

(913) 620-6162

Fax

(913) 273-1080

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Jeremy Saporito

Title

Executive Director

Phone

(913) 515-8203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1134426943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 LAMAR AVE STE 4",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021765",
            "telephone_number": "913-620-6162",
            "fax_number": "913-273-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 LAMAR AVE STE 4",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021765",
            "telephone_number": "913-620-6162",
            "fax_number": "913-273-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "SAPORITO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-515-8203"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KS",
            "license": "251G00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Mission, KS
• Providers in Mission, KS by specialty
• Community Based Hospice Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.