Eudora Development Co., Inc.

Key facts

NPI

1649272014

Entity type

Organization (NPI type 2)

Primary specialty

Nursing Facility/Intermediate Care Facility 313M00000X

License

NO23003 (KS)

Legal business name

EUDORA DEVELOPMENT CO., INC.

Practice address

1415 Maple St
Eudora, KS 66025-9419

Phone

(785) 542-2176

Fax

(785) 542-2177

NPI assigned

Aug 15, 2005

Organization subpart

No

Authorized official

Name

Ms. Rheva A Victor

Title

Administrator

Phone

(785) 542-2176

Corporate family (same tax ID) 1

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

• Eudora Nursing Center Nursing Facility/Intermediate Care Facility · Eudora, KS · NPI 1609929363
  NPD tax ID

National Provider Directory

Tax ID family

Eudora Development Co Inc (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

Other names

• Eudora Nursing Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649272014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176",
            "fax_number": "785-542-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAPLE ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259419",
            "telephone_number": "785-542-2176",
            "fax_number": "785-542-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDORA DEVELOPMENT CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "RHEVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-542-2176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "NO23003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041778001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eudora Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara T Durkin, CCC-SLP
• Eudora Eye Care, P.a.
• Eudora Nursing Center
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• Kelli Jean Fisher
• Aubrey Anna Floerke, PHARMD

All providers in Eudora, KS · Nursing Facility/Intermediate Care Facility in Kansas