Amberwell Atchison Association
Organization Active NPI Home Health Agency · Atchison, KS
NPI 1770536559 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1770536559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- KSA003001 (KS)
- Legal business name
- AMBERWELL ATCHISON ASSOCIATION
- Practice address
- 705 Commercial St
Atchison, KS 66002-2434 - Phone
- (913) 360-5520
- Fax
- (913) 367-2913
- NPI assigned
- May 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ATCHISON HOSPITAL ASSOCIATION
Authorized official
- Name
- Jared Abel
- Title
- Ceo
- Phone
- (913) 367-2131
Owners & managing parties with NPI records 2
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 8
Practitioners 54
-
Joseph Asher, MD
-
Lucas Bauer, PA
-
Jennifer L Baum, PA
-
Gerald W Clevenger, PAC
-
Elizabeth Ann Courtney, FNP-BC
-
Brian Russell Duncan, M.D.
-
Andrew Durbin, CRNA
-
John Read Eplee, M.D.
-
Rachel Marie Frye, APRN
-
Abby Gentry, FNP-C
-
McGarrett Groth, DO
-
David W. Hart, DNP, CRNA
-
Katie Lynn Kettler, APRN, FNP-C
-
Douglas B Knox, M.D.
-
Johnathan K Leck, MD
-
Arlene Renee Long, FNP
Affiliated clinicians 15
-
Joseph Asher, MD
-
Elizabeth Ann Courtney, FNP-BC
-
Brian Russell Duncan, M.D.
-
John Read Eplee, M.D.
-
Johnathan K Leck, MD
-
Peter S. Rosa, M.D.
-
Bonnie A Tackett, MD
-
Ryan M. Thomas, MD
-
Jodi M Twombly, P.A.
Medicare Care Compare: Home health agency
- Listed as
- Amberwell Health at Home
- Overall star rating
- ★★★☆☆ 2.5 of 5
- Ownership
- Proprietary
- Certified
- Apr 6, 1987
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
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
- Corporation · Non-profit
- Enrollment address
- 705 Commercial St
Atchison, KS 66002-2434
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Chase Dudzinski |
Corporate Officer |
Aug 1, 2022 | |
| Corporate Director |
Aug 1, 2022 | ||
| W-2 Managing Employee | May 28, 2021 | ||
| Taylor Hausmann |
Corporate Director |
Aug 1, 2025 | |
| Alicia Sorensen |
Corporate Officer |
Nov 1, 2019 | |
| Corporate Director |
Nov 1, 2019 | ||
| W-2 Managing Employee | Nov 1, 2019 | ||
| Lorin Affield |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2019 | ||
| Tyler Alan Darland |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Mar 1, 2022 | ||
| W-2 Managing Employee | Oct 1, 2020 | ||
| Norma E Green |
Corporate Officer |
Jan 15, 2018 | |
| Corporate Director |
Feb 1, 2020 | ||
| W-2 Managing Employee | Aug 9, 2013 | ||
| Jordan Hawk |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
May 1, 2021 | ||
| Gerald Henry |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jan 1, 2019 | ||
| Kelli R McCarty |
W-2 Managing Employee |
Mar 31, 2014 | |
| Renee Nugent |
Corporate Officer |
Jan 1, 2026 | |
| Corporate Director |
Jan 1, 2026 | ||
| Stan Sluder |
Corporate Director |
Jan 1, 2025 | |
| Douglass Adair |
Corporate Director |
Jan 1, 2025 | |
| Jared Abel |
Corporate Officer |
Jun 15, 2024 | |
| Corporate Director |
Jun 15, 2024 | ||
| W-2 Managing Employee | Jun 15, 2024 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Amberwell Hospice |
Hospice | Operational/Managerial Control | Jan 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100813000513 | KS | Part a Provider - Home Health Agency | 2466363858 | Practice locations: Atchison, KS |
National Provider Directory
- Part of
- Atchison Hosp
Locations
705 Commercial St
Atchison, KS 66002
Phone (913) 360-5520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | KSA-003-001 | KS | |
| Home Health Agency | 251E00000X | KSA003001 | KS | Yes |
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
- Amberwell Health at Home
Other providers in Atchison, KS
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amberwell Atchison Association
- Amish H Patel DDS LLC
- Erik S Anderson
- Thomas Lee Anderson
All providers in Atchison, KS · Home Health Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.