NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Gran Villas Atchison

  • Home Health Agency
  • Atchison, KS
National Provider Identifier
1154402147
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
N003004 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Gran Villas Atchison
Practice address
1635 Riley St
Atchison, KS 66002-1518
Phone
(913) 367-2077
Fax
(913) 367-1755
NPI assigned
Oct 18, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Cathy W Fisher
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N003004 KS Primary
Adult Day Care Clinic/Center 261QA0600X N003004 KS
Durable Medical Equipment & Medical Supplies 332B00000X N003004 KS
Customized Equipment (DME) 332BC3200X N003004 KS

Addresses

Primary practice location

1635 Riley St
Atchison, KS 66002-1518

Mailing address

1635 Riley St
Atchison, KS 66002-1518
Phone (913) 367-2077

Other identifiers 2

IdentifierTypeStateIssuer
100068170AMedicaidKS
100026530UMedicaidKS

Other names 1

  • Gran Villas Atchison Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0955559Gran Villas,the1635 Riley Street, Atchison, KS 66002Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

1635 Riley St
Atchison, KS 66002
Phone (913) 367-2077

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1154402147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 RILEY ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021518",
            "telephone_number": "913-367-2077",
            "fax_number": "913-367-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 RILEY ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660021518",
            "telephone_number": "913-367-2077",
            "fax_number": "913-367-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "N003004",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "N003004",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "N003004",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "N003004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100068170A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026530U",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gran Villas Atchison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.