Active NPI
Gracious Senior Living, LLC
- Nursing Facility/Intermediate Care Facility
- Wichita, KS
National Provider Identifier
1669782231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- B087171
- Legal business name
- GRACIOUS SENIOR LIVING, LLC
- Practice address
- 551 S. Holland
Wichita, KS 67209 - Phone
- (316) 771-7316
- Fax
- (316) 771-7319
- NPI assigned
- Oct 18, 2010
- Last updated
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Bacci
- Title
- Director of Operations
- Phone
- (316) 771-7316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | B087171 | KS | Primary |
Addresses
Primary practice location
551 S. Holland
Wichita, KS 67209
Mailing address
3825 E. Harry
Wichita, KS 67218-3722
Phone (316) 771-7316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B087171 | Other | KS | STATE NURSING HOME LICENSE |
National Provider Directory
National Provider DirectoryLocations
3825 E Harry St
Wichita, KS 67218
Phone (316) 440-4820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1669782231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 E. HARRY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183722",
"telephone_number": "316-771-7316",
"fax_number": "316-771-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 S. HOLLAND",
"city": "WICHITA",
"state": "KS",
"postal_code": "67209",
"telephone_number": "316-771-7316",
"fax_number": "316-771-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS SENIOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A",
"authorized_official_last_name": "BACCI",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "316-771-7316"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "KS",
"license": "B087171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NURSING HOME LICENSE",
"identifier": "B087171",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
- Gracemed Health Clinic, Inc (GraceMed Meyer Family Clinic)
- Gracemed Health Clinic, Inc (GraceMed Dodge Family Clinic)
- Gracemed Health Clinic, Inc (GraceMed Oaklawn Family Clinic)
- Gracious Home Health & Hospice
- Gracious Home Health & Hospice
- Belle Grady, MD
- Samantha Lorraine Grady
- Ashley Renee Graf, ARNP
- Katelyn Graf, MD
- Thomas T Graff, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.