NPIMap

Organization Active NPI

Midland Care Connection, Inc

Doing business as Midland Care Thrive at Home

  • In Home Supportive Care Agency
  • Topeka, KS
National Provider Identifier
1174917660
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
A089038 Issued in KS
Legal business name
MIDLAND CARE CONNECTION, INC
Doing business as
Midland Care Thrive at Home
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 232-2044
Fax
(785) 232-5567
NPI assigned
Mar 24, 2015
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDLAND CARE CONNECTION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Mr. Shawn Sullivan
Title
Ceo
Phone
(785) 232-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X A089038 KS 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

Other identifiers 1

IdentifierTypeStateIssuer
100117670CMedicaidKS

Other names 1

  • Midland Care Thrive at Home Doing business as

National Provider Directory

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

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1174917660",
    "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": "785-232-5567"
        },
        {
            "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": "785-232-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CARE CONNECTION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDLAND CARE CONNECTION, INC",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-232-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KS",
            "license": "A089038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117670C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Care Thrive at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midland Care Thrive at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.