NPIMap

Organization Active NPI

Life Care Center Wichita

  • Skilled Nursing Facility
  • Wichita, KS
National Provider Identifier
1457610602
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2505 Issued in KS
Legal business name
LIFE CARE CENTER WICHITA
Practice address
622 N Edgemoor St
Wichita, KS 67208-3602
Phone
(316) 686-5100
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mrs. Tonya M Marchand, MA CCC/SLPNPI 1346897436
Title
Speech Thearpist
Phone
(316) 409-6352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2505 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

National Provider Directory

National Provider Directory
Tax ID family
Life Care Center of Wichita2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1457610602",
    "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": "LIFE CARE CENTER WICHITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "MARCHAND",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH THEARPIST",
        "authorized_official_telephone_number": "316-409-6352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 9, 2012; 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.