NPIMap

Organization Active NPI

Craig Resources LLC

Doing business as Craig Homecare

  • Home Health Agency
  • Dodge City, KS
National Provider Identifier
1346651858
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-068-002 Issued in KS
Legal business name
CRAIG RESOURCES LLC
Doing business as
Craig Homecare
Pediatric Home Services
Practice address
2201 Central Ave Ste a
Dodge City, KS 67801-6201
Phone
(785) 798-4821
Fax
(785) 798-4823
NPI assigned
May 19, 2014
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Leola Christine Bogard
Title
Revenue Cycle Manager
Phone
(316) 266-8717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-068-002 KS Primary
Nursing Care Agency 251J00000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

2201 Central Ave Ste a
Dodge City, KS 67801-6201

Mailing address

1220 E 1St St N
Wichita, KS 67214-3907
Phone (316) 266-8717

Other identifiers 2

IdentifierTypeStateIssuer
10000709MMedicaidKS
30003931500003MedicaidKS

Other names 2

  • Craig Homecare Doing business as
  • Pediatric Home Services 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
17D2050171Craig Homecare, LLC Dba Pediatric Home Service2201 Central Ave, Ste a, Dodge City, KS 67801Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Craig Resources LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1346651858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 1ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143907",
            "telephone_number": "316-266-8717",
            "fax_number": "316-266-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CENTRAL AVE STE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016201",
            "telephone_number": "785-798-4821",
            "fax_number": "785-798-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "316-266-8717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-068-002",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000709M",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003931500003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Craig Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.