NPIMap

Organization Active NPI

Amberwell Atchison Association

Doing business as Amberwell Health at Home

  • Home Health Agency
  • Atchison, KS
National Provider Identifier
1770536559
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
KSA003001 Issued in KS
Legal business name
AMBERWELL ATCHISON ASSOCIATION
Doing business as
Amberwell Health at Home
Practice address
705 Commercial St
Atchison, KS 66002-2434
Phone
(913) 360-5520
Fax
(913) 367-2913
NPI assigned
May 19, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ATCHISON HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Jared Abel
Title
Ceo
Phone
(913) 367-2131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X KSA-003-001 KS
Home Health Agency 251E00000X KSA003001 KS Primary

Addresses

Primary practice location

705 Commercial St
Atchison, KS 66002-2434

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other names 1

  • Amberwell Health at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100813000513 KS Part A Provider - Home Health Agency 2466363858 Practice locations: Atchison, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770536559. Details of each certification follow.

Home health agency certification: CCN 177181

Legal name
AMBERWELL ATCHISON ASSOCIATION
Doing business as
AMBERWELL HEALTH AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 1987
Last certification
Feb 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Enrollment address
705 Commercial St
Atchison, KS 66002-2434

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amberwell Health at HomeCCN 177181 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 6, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Joseph L Kyner MD

Locations

705 Commercial St
Atchison, KS 66002
Phone (913) 360-5520

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Chase Dudzinski Individual Corporate OfficerCfo Aug 1, 2022
Corporate DirectorCfo Aug 1, 2022
W-2 Managing Employee May 28, 2021
Taylor Hausmann Individual Corporate DirectorBoard Member Aug 1, 2025
Alicia Sorensen Individual Corporate OfficerCoo/Cno Nov 1, 2019
Corporate DirectorCoo/Cno Nov 1, 2019
W-2 Managing Employee Nov 1, 2019
Lorin Affield Individual Corporate OfficerBoard Vice - Chairperson Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2019
Tyler Alan Darland Individual Corporate OfficerCos Jan 1, 2025
Corporate DirectorHealth @ Home Medical Director Mar 1, 2022
W-2 Managing Employee Oct 1, 2020
Norma E Green Individual Corporate OfficerCmo Jan 15, 2018
Corporate DirectorRHC Medical Director/Cmo Feb 1, 2020
W-2 Managing Employee Aug 9, 2013
Jordan Hawk Individual Corporate OfficerBoard Secretary Jan 1, 2025
Corporate DirectorBoard Member May 1, 2021
Gerald Henry Individual Corporate OfficerBoard Chairperson Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2019
Kelli R McCarty Individual W-2 Managing EmployeeExec. Director of Revenue Cycle Mar 31, 2014
Renee Nugent Individual Corporate OfficerBoard Treasurer Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Stan Sluder Individual Corporate DirectorBoard Member Jan 1, 2025
Douglass Adair Individual Corporate DirectorBoard Member Jan 1, 2025
Jared Abel Individual Corporate OfficerCeo Jun 15, 2024
Corporate DirectorCeo Jun 15, 2024
W-2 Managing Employee Jun 15, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amberwell HospiceAtchison, KS, CCN 171516 Hospice Operational/Managerial Control Jan 1, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1770536559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-367-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022434",
            "telephone_number": "913-360-5520",
            "fax_number": "913-367-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERWELL ATCHISON ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATCHISON HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-367-2131"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "KSA-003-001",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "KSA003001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amberwell Health at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.