NPIMap

Organization Active NPI

Sequel of Kansas, LLC

  • Psychiatric Residential Treatment Facility
  • Wichita, KS
National Provider Identifier
1710172473
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
62020 Issued in KS
Legal business name
SEQUEL OF KANSAS, LLC
Practice address
2050 W. 11TH St N,
Wichita, KS 67203
Phone
(316) 267-5710
Fax
(316) 267-5710
NPI assigned
Sep 6, 2007
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SEQUEL OF KANSAS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Ms. Heather D. Sell, MSM
Title
Executive Director
Phone
(316) 267-5710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU
Psychiatric Residential Treatment Facility 323P00000X 62020 KS Primary

Addresses

Primary practice location

2050 W. 11TH St N,
Wichita, KS 67203

Mailing address

1131 Eagletree Lane
Huntsville, AL 35801
Phone (256) 880-3339

Other identifiers 2

IdentifierTypeStateIssuer
128807500MedicaidWY
200540330BMedicaidKS

Other names 1

  • dba Riverside Academy, previously Camelot of Kansas, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Riverside Academy5 organizations share this tax ID, including this one
Part of
Riverside Academy

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1710172473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LANE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-880-3339",
            "fax_number": "256-880-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W. 11TH ST N,",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67203",
            "telephone_number": "316-267-5710",
            "fax_number": "316-267-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUEL OF KANSAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEQUEL OF KANSAS, LLC",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "316-267-5710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KS",
            "license": "62020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128807500",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540330B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Riverside Academy, previously Camelot of Kansas, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 30, 2011; 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.