Active NPI
South Wind Hospice, Inc.
- Community Based Hospice Care Agency
- Pratt, KS
National Provider Identifier
1780609396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOUTH WIND HOSPICE, INC.
- Practice address
- 496 Yucca Lane
Pratt, KS 67124-0000 - Phone
- (620) 672-7553
- Fax
- (620) 672-7554
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ginger C Goering, LBSW KS#4904
- Title
- Executive Director
- Phone
- (620) 672-7553
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | KS | Primary | |
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
496 Yucca Lane
Pratt, KS 67124-0000
Mailing address
496 Yucca Lane
Pratt, KS 67124-0000
Phone (620) 672-7553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100221150A | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
126 S Main St
Pratt, KS 67124
Phone (620) 672-7553
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1174665392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382572800000",
"number": "1780609396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 YUCCA LANE",
"city": "PRATT",
"state": "KS",
"postal_code": "671240000",
"telephone_number": "620-672-7553",
"fax_number": "620-672-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 YUCCA LANE",
"city": "PRATT",
"state": "KS",
"postal_code": "671240000",
"telephone_number": "620-672-7553",
"fax_number": "620-672-7554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH WIND HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2013-10-24",
"status": "A",
"authorized_official_last_name": "GOERING",
"authorized_official_first_name": "GINGER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "620-672-7553",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LBSW KS#4904"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "KS",
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100221150A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.