Active NPI
Craig Resources LLC
Doing business as Craig HomeCare
- Home Health Agency
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A-085-010
- Legal business name
- CRAIG RESOURCES LLC
- Doing business as
- Craig HomeCare
Pediatric Home Service - Practice address
- 1220 E 1St St N
Wichita, KS 67214-3907 - Phone
- (316) 264-9988
- Fax
- (316) 264-0016
- NPI assigned
- Jul 12, 2006
- Last updated
- Apr 6, 2026
- 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
- Cameo Zehnder
- Title
- Cao & VP
- Phone
- (651) 642-1825
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Home Health Agency | 251E00000X | A-068-002 | KS | |
| Home Health Agency | 251E00000X | HHA200609 | NE | |
| Home Health Agency | 251E00000X | A-089-031 | KS | |
| Home Health Agency | 251E00000X | A-050-007 | KS | |
| Home Health Agency | 251E00000X | A-085-010 | KS | Primary |
| Respite Care | 385H00000X | A-087-046 | KS | |
| Respite Care | 385H00000X | A-050-007 | KS | |
| Respite Care | 385H00000X | A-085-010 | KS | |
| Respite Care | 385H00000X | A-089-031 | KS | |
| Respite Care | 385H00000X | NU | ||
| Respite Care | 385H00000X | A-068-002 | KS |
Addresses
Primary practice location
1220 E 1St St N
Wichita, KS 67214-3907
Mailing address
1220 E 1St St N
Wichita, KS 67214-3907
Phone (316) 266-8717
Other practice location 1
220 N 89th St Ste 202
Omaha, NE 68114-4072
Phone (402) 502-5750
Other practice location 2
11116 S Towne Sq Ste 101
Saint Louis, MO 63123-7809
Phone (314) 843-0316
Other practice location 3
220 N 89th St Ste 202
Omaha, NE 68114-4072
Phone (844) 502-3208
Other practice location 4
11116 S Towne Sq Ste 101
Saint Louis, MO 63123-7809
Phone (855) 416-0442
Other practice location 5
1811 W 2nd St Ste Ll200
Grand Island, NE 68803-5420
Phone (877) 382-1884
Other practice location 6
4008 SW Huntoon St
Topeka, KS 66604-1837
Phone (785) 232-8221
Other practice location 7
1811 W 2nd St Ste 285
Grand Island, NE 68803-5400
Phone (308) 382-1884
Other practice location 8
2201 Central Ave Ste A
Dodge City, KS 67801-6201
Phone (785) 798-4821
Other practice location 9
1220 E 1st St N
Wichita, KS 67214-3907
Phone (316) 266-8717
Other practice location 10
727 N Waco Ave Ste 185
Wichita, KS 67203-3910
Phone (888) 260-9988
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026433800 | Medicaid | NE | |
| 945429900 | Medicaid | MO | |
| 30003931500006 | Medicaid | KS | |
| 30003931500007 | Medicaid | KS | |
| 100007090A | Medicaid | KS | |
| 100007090F | Medicaid | KS | |
| 30003931500004 | Medicaid | KS | |
| 100007090E | Medicaid | KS | |
| 100066570F | Medicaid | KS | |
| 100066570C | Medicaid | KS | |
| 10025453800 | Medicaid | NE | |
| 30003931500011 | Medicaid | KS | |
| 30003931500027 | Medicaid | KS | |
| 100007090C | Medicaid | KS |
Other names 2
- Craig HomeCare
- Pediatric Home Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120105000637 | KS | Part A Provider - Home Health Agency | 3274708425 | Practice locations: Wichita, KS; Neodesha, KS |
| O20200601002684 | NE | Part A Provider - Home Health Agency | 3274708425 | Practice locations: Omaha, NE; Grand Island, NE |
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1689699837. Details of each certification follow.
Home health agency certification: CCN 178103
- Legal name
- CRAIG RESOURCES, LLC
- Doing business as
- CRAIG HOMECARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 21, 2013
- Last certification
- Aug 21, 2013
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 15, 1994 in KS
- Enrollment address
- 623 Main St
Neodesha, KS 66757-1632
Home health agency certification: CCN 287159
- Legal name
- CRAIG RESOURCES, LLC
- Doing business as
- PEDIATRIC HOME SERVICE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 16, 2021
- Last certification
- Jul 16, 2021
- Ownership / control type
- Proprietary
- Most recent change of ownership
- Dec 17, 2024
- Organization structure
- LLC
- Incorporated
- Feb 15, 1995 in KS
- Enrollment address
- 1811 W 2ND St
Ste Ll200
Grand Island, NE 68803-5420
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Pediatric Home Service
- Ownership
- Proprietary
- Certified
- Aug 21, 2013
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Pediatric Home Service
- Ownership
- Proprietary
- Certified
- Jul 16, 2021
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Pediatric Home Service
- Nursing Care Agency
- Roseville, MN
- NPI 1285706911
Member Of
Locations
2201 Central Ave
Ste A
Dodge City, KS 67801
Phone (785) 798-4821
623 Main St
Neodesha, KS 66757
Phone (620) 325-2450
103 S Iowa Ave
Ness City, KS 67560
Phone (785) 798-4821
119 E Main St
Ness City, KS 67560
Phone (785) 798-2258
506 SW 10th Ave
Topeka, KS 66612
Phone (785) 749-1600
1220 E 1st St N
Wichita, KS 67214
Phone (316) 264-9988
727 N Waco Ave
Ste 185
Wichita, KS 67203
Phone (316) 264-9988
1811 W 2nd St
Ste 285
Grand Island, NE 68803
Phone (308) 382-1884
1811 W 2nd St
Ste LL200
Grand Island, NE 68803
Phone (308) 382-1884
220 N 89th St
Ste 202
Omaha, NE 68114
Phone (402) 502-5750
Ownership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Pediatric Home Respiratory Services, LLC | Operational/Managerial Control | Jul 13, 2022 | |
| 5% Or Greater Direct Ownership Interest | Dec 18, 2024 | 100% | |
| Sean a. Balke | 5% Or Greater Direct Ownership Interest | Jun 28, 2021 | 100% |
| Corporate Officer | Jun 30, 2021 | ||
| Corporate Director | Jun 30, 2021 | ||
| W-2 Managing Employee | Jun 30, 2021 | ||
| Gothic Corporation | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 10% |
| Brandywine Private Equity Partners (2018), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 6.1% |
| Intandem Capital Partners Fund, LP | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 40.4% |
| Itc (PHS) Parallel Fund, LP | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 18.7% |
| SFT Private Equity LLC (2016) | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 5.3% |
| Brandywine Private Equity Partners (2016), L.P | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 8.7% |
| Pediatric Care (Itc) Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 100% |
| Joyce Bulman | Corporate Officer | Jun 13, 2024 | |
| Intandem Capital Opportunities Fund, LP | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 14.3% |
| PHS Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 12.4% |
| Duke University | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 18.6% |
| Adam J Albrecht | Corporate Officer | Mar 31, 2025 | |
| Pediatric Care (Itc) Intermediate Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 18, 2024 | 100% |
| Adam D Nielsen | Corporate Officer | Dec 18, 2024 | |
| Susan E. Wingert | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 7% |
| Cameo K. Zehnder | Corporate Officer | Dec 18, 2024 | |
| Gef-Apeb, LP | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 9.6% |
| Laurie R Johnson | W-2 Managing Employee | Feb 10, 2020 | |
| The Hillman Company | 5% Or Greater Indirect Ownership Interest | Dec 18, 2024 | 5.2% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Surgery Physician
- Durham, NC
- NPI 1841222395
5% Or Greater Indirect Ownership Interest
-
dba Pediatric Home Service
- Nursing Care Agency
- Roseville, MN
- NPI 1285706911
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Monroe, GA
- NPI 1881364750
Gothic Corporation, Intandem Capital Opportunities Fund, LP, SFT Private Equity LLC (2016)
-
dba Pediatric Home Service
- Nursing Care Agency
- Roseville, MN
- NPI 1285706911
Brandywine Private Equity Partners (2016), L.P, Brandywine Private Equity Partners (2018), L.P., Duke University, Gef-Apeb, LP, Gothic Corporation, Intandem Capital Opportunities Fund, LP, Intandem Capital Partners Fund, LP, Itc (PHS) Parallel Fund
-
- Community Based Hospice Care Agency
- Rock Hill, SC
- NPI 1891005104
Gothic Corporation, Intandem Capital Opportunities Fund, LP, SFT Private Equity LLC (2016)
Practitioners & affiliated clinicians
Practitioners 159
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Grand Island, NE
- NPI 1497620546
-
- Adult Companion
- Grand Island, NE
- NPI 1962364513
-
- Adult Companion
- Grand Island, NE
- NPI 1407718059
-
- Licensed Practical Nurse
- Omaha, NE
- NPI 1831993609
-
- Licensed Practical Nurse
- Grand Island, NE
- NPI 1942129168
-
- Registered Nurse
- Omaha, NE
- NPI 1588527139
-
- Licensed Practical Nurse
- Grand Island, NE
- NPI 1326922972
-
- Home Health Registered Nurse
- Grand Island, NE
- NPI 1528944204
-
- Licensed Practical Nurse
- Grand Island, NE
- NPI 1508728155
-
- Licensed Practical Nurse
- Omaha, NE
- NPI 1588468367
-
- Licensed Practical Nurse
- Omaha, NE
- NPI 1104620996
-
- Licensed Practical Nurse
- Omaha, NE
- NPI 1962310508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1689699837",
"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": "1220 E 1ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143907",
"telephone_number": "316-264-9988",
"fax_number": "316-264-0016"
}
],
"practiceLocations": [
{
"address_1": "220 N 89th St Ste 202",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681144072",
"country_code": "US",
"telephone_number": "402-502-5750",
"fax_number": "402-502-1261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11116 S Towne Sq Ste 101",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631237809",
"country_code": "US",
"telephone_number": "314-843-0316",
"fax_number": "316-843-0337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 N 89th St Ste 202",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681144072",
"country_code": "US",
"telephone_number": "844-502-3208",
"fax_number": "402-502-1261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11116 S Towne Sq Ste 101",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631237809",
"country_code": "US",
"telephone_number": "855-416-0442",
"fax_number": "314-843-0337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 W 2nd St Ste Ll200",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688035420",
"country_code": "US",
"telephone_number": "877-382-1884",
"fax_number": "308-382-0589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4008 SW Huntoon St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666041837",
"country_code": "US",
"telephone_number": "785-232-8221",
"fax_number": "785-232-8239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 W 2nd St Ste 285",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688035400",
"country_code": "US",
"telephone_number": "308-382-1884",
"fax_number": "308-302-0589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2201 Central Ave Ste A",
"address_purpose": "LOCATION",
"city": "Dodge City",
"state": "KS",
"postal_code": "678016201",
"country_code": "US",
"telephone_number": "785-798-4821",
"fax_number": "785-798-4823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1220 E 1st St N",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143907",
"country_code": "US",
"telephone_number": "316-266-8717",
"fax_number": "316-266-8757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 N Waco Ave Ste 185",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672033910",
"country_code": "US",
"telephone_number": "888-260-9988",
"fax_number": "316-264-0016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CRAIG RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "ZEHNDER",
"authorized_official_first_name": "CAMEO",
"authorized_official_title_or_position": "CAO & VP",
"authorized_official_telephone_number": "651-642-1825"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-068-002",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "HHA200609",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-089-031",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-050-007",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-085-010",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "KS",
"license": "A-087-046",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "KS",
"license": "A-050-007",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "KS",
"license": "A-085-010",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "KS",
"license": "A-089-031",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "KS",
"license": "A-068-002",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026433800",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945429900",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500006",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500007",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007090A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007090F",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500004",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007090E",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100066570F",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100066570C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025453800",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500011",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500027",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007090C",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.