Organization Active NPI

Abal Homes, Inc.

Doing business as ABAL Home

  • Nursing Facility/Intermediate Care Facility
  • Wichita, KS
National Provider Identifier
1184742660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
N087009 Issued in KS
Legal business name
ABAL HOMES, INC.
Doing business as
ABAL Home
Practice address
228 N Winterset St
Wichita, KS 67212-6377
Phone
(316) 943-9443
Fax
(316) 943-9443
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wanda Kay Lydick, R.N.
Title
Owner
Phone
(316) 943-9443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X N087009 KS Primary

Addresses

Primary practice location

228 N Winterset St
Wichita, KS 67212-6377

Mailing address

2840 S Hillside St
Wichita, KS 67216-2544
Phone (316) 684-7777

Other names 1

  • ABAL Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184742660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672162544",
            "telephone_number": "316-684-7777",
            "fax_number": "316-684-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N WINTERSET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126377",
            "telephone_number": "316-943-9443",
            "fax_number": "316-943-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABAL HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYDICK",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-943-9443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N087009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABAL Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.