NPIMap

Organization Active NPI

Lifecare Center of Wichita

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1326224361
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17-02172 Issued in KS
Legal business name
LIFECARE CENTER OF WICHITA
Practice address
622 N Edgemoor St
Wichita, KS 67208-3602
Phone
(316) 686-5100
NPI assigned
Jan 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

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

Authorized official

Name
Ms. Bonnie Jackson, R.N.
Title
Executive Director
Phone
(316) 686-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 17-02172 KS Primary

Addresses

Primary practice location

622 N Edgemoor St
Wichita, KS 67208-3602

Mailing address

622 N Edgemoor St
Wichita, KS 67208-3602
Phone (316) 686-5100

Other names 1

  • Lifecare Centers of America Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1326224361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083602",
            "telephone_number": "316-686-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083602",
            "telephone_number": "316-686-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE CENTER OF WICHITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-01-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-686-5100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "17-02172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Centers of America",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 20, 2008; 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.