NPIMap

Organization Active NPI

Medicalodges, Inc.

Doing business as Gran Villas Neodesha

  • Adult Day Care Clinic/Center
  • Neodesha, KS
National Provider Identifier
1689755522
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
N103005 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Gran Villas Neodesha
Practice address
400 Fir St
Neodesha, KS 66757-1298
Phone
(620) 325-2244
Fax
(620) 325-2762
NPI assigned
Oct 18, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Cathy W Fisher
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N103005 KS
Adult Day Care Clinic/Center 261QA0600X N103005 KS Primary
Durable Medical Equipment & Medical Supplies 332B00000X N103005 KS
Customized Equipment (DME) 332BC3200X N103005 KS

Addresses

Primary practice location

400 Fir St
Neodesha, KS 66757-1298

Mailing address

400 Fir St
Neodesha, KS 66757-1298
Phone (620) 325-2244

Other identifiers 2

IdentifierTypeStateIssuer
100026530VMedicaidKS
100068170DMedicaidKS

Other names 1

  • Gran Villas Neodesha Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1689755522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FIR ST",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571298",
            "telephone_number": "620-325-2244",
            "fax_number": "620-325-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FIR ST",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571298",
            "telephone_number": "620-325-2244",
            "fax_number": "620-325-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "N103005",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "N103005",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "N103005",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "N103005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026530V",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100068170D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gran Villas Neodesha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neodesha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.