Organization Active NPI

Craig Resources LLC

  • Respite Care
  • Wichita, KS
National Provider Identifier
1497155246
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
A-087-046 Issued in KS
Legal business name
CRAIG RESOURCES LLC
Practice address
727 N Waco Ave Ste 185
Wichita, KS 67203-3910
Phone
(316) 264-9988
Fax
(316) 264-0016
NPI assigned
Aug 29, 2014
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 McCallum
Title
Revenue Cycle Manager
Phone
(316) 266-8717

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-087-046 KS
Nursing Care Agency 251J00000X
Respite Care 385H00000X A-087-046 KS Primary

Addresses

Primary practice location

727 N Waco Ave Ste 185
Wichita, KS 67203-3910

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
100007090BMedicaidKS
100007090IMedicaidKS
30003931500012MedicaidKS

Other names 2

  • Craig HomeCare Doing business as
  • Pediatric Home Service Doing business as

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.

Locations

1100 E 1st St N
Wichita, KS 67214
Phone (316) 264-9988

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1497155246",
    "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": "727 N WACO AVE STE 185",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033910",
            "telephone_number": "316-264-9988",
            "fax_number": "316-264-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "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-087-046",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "KS",
            "license": "A-087-046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007090B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007090I",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003931500012",
            "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 Service",
            "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 Mar 17, 2025; 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.