NPIMap

Organization Active NPI

Carearc, Inc.

  • Public Health or Welfare Agency
  • Emporia, KS
National Provider Identifier
1760658108
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CAREARC, INC.
Practice address
420 W 15TH Ave
Emporia, KS 66801-5367
Phone
(620) 342-4864
Fax
(620) 343-3545
NPI assigned
May 6, 2008
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Mrs. Renee E Hively
Title
Chief Executive Officer
Phone
(620) 342-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

420 W 15TH Ave
Emporia, KS 66801-5367

Mailing address

420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864

Other identifiers 1

IdentifierTypeStateIssuer
100337800NMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040812000395 KS Part B Supplier - Clinic/Group Practice 2961474663 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Emporia, KS
O20191113000569 KS Part A Provider - Federally Qualified Health Center (FQHC) 2961474663 Practice locations: Emporia, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760658108. Details of each certification follow.

Federally qualified health center certification: CCN 171892

Legal name
CAREARC INC
Doing business as
LYON COUNTY HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 11, 2019
Last certification
Nov 11, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
420 W 15TH Ave
Emporia, KS 66801-5367

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carearc 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.

Locations

420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rick Torres Individual W-2 Managing EmployeeBoard President Jan 22, 2019 0.05%
Fannie Brooks Individual Corporate OfficerBoard Member Jun 25, 2019
Renee E Hively Individual Corporate OfficerCeo Aug 24, 1998
W-2 Managing EmployeeCeo Aug 24, 1998
Teresa L Briggs Individual Corporate OfficerBoard Member Vice President Apr 23, 2013

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1760658108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-343-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-343-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "HIVELY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-342-4864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100337800N",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.