Organization Active NPI

Via Christi Healthcare Outreach Program for the Elderly, Inc.

  • PACE Provider Organization
  • Wichita, KS
National Provider Identifier
1568670453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
H1714 Issued in KS
Legal business name
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR THE ELDERLY, INC.
Practice address
2622 W Central Ave
Wichita, KS 67203-4902
Phone
(316) 858-1111
NPI assigned
May 21, 2007
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
Mr. Kent Edward Shank
Title
Director of Finance
Phone
(316) 946-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X H1714 KS Primary

Addresses

Primary practice location

2622 W Central Ave
Wichita, KS 67203-4902

Mailing address

2622 W Central Ave
Wichita, KS 67203-4902
Phone (316) 858-1111

Other names 1

  • HOPE 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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568670453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034902",
            "telephone_number": "316-858-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034902",
            "telephone_number": "316-858-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR THE ELDERLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "316-946-5107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "KS",
            "license": "H1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE",
            "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 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.