Organization Active NPI

South Wind Hospice, Inc.

  • Community Based Hospice Care Agency
  • Pratt, KS
National Provider Identifier
1780609396
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Oct 24, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100221150AMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.