Eudora Development Co., Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NO23003 Issued in KS

Legal business name

EUDORA DEVELOPMENT CO., INC.

Doing business as

Eudora Nursing Center

Practice address

1415 Maple St
Eudora, KS 66025-9419

Phone

(785) 542-2176

Fax

(785) 542-2177

NPI assigned

Aug 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rheva A Victor

Title

Administrator

Phone

(785) 542-2176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eudora Nursing Center Doing business as

Tax ID family

Eudora Development Co Inc2 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.

• Eudora Nursing Center

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

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

{
    "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"
        }
    ]
}

• Jodette Ellen Cox, ARNP
• Linda S Crabb, OTR
• James Dick, OTR/L
• Stacey Dines
• Barbara T Durkin, CCC-SLP
• Eudora Eye Care, P.a.
• Eudora Nursing Center
• Eudora Usd491
• Kelli Jean Fisher
• Aubrey Anna Floerke, PHARMD

• Nursing Facility/Intermediate Care Facility in Eudora, KS
• Providers in Eudora, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• 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.