NPIMap

Organization Active NPI

Ascension Via Christi Home Medical Wichita, LLC

  • Pharmacy
  • Wichita, KS
National Provider Identifier
1821024142
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Practice address
528 N Saint Francis St
Wichita, KS 67214-3808
Phone
(316) 858-2100
NPI assigned
Jun 26, 2006
Organization subpart
Yes
Parent organization
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Deana Rae Haynes
Title
Senior Director
Phone
(316) 858-2124

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Home Infusion Therapy Pharmacy 3336H0001X 209945 KS

Addresses

Primary practice location

528 N Saint Francis St
Wichita, KS 67214-3808

Mailing address

PO Box 1933
Wichita, KS 67201-1933
Phone (316) 858-2100

Other identifiers 3

IdentifierTypeStateIssuer
200254540AMedicaidKS
118181OtherKSBLUE CROSS/BLUE SHIELD
100444310AMedicaidKS

Other names 3

  • Ascension Via Christi Home Medical Doing business as
  • Via Christi Home Medical Doing business as
  • Via Christi Home Medical Wichita, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930069781 KS DME Supplier - Pharmacy 9234256488 Practice locations: Wichita, KS

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Ascension Via Christi Home Medical Wichita LLC7 organizations share this tax ID, including this one
Part of
Ascension Via Christi Home Medical Wichita LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1821024142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011933",
            "telephone_number": "316-858-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143808",
            "telephone_number": "316-858-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "316-858-2124"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "KS",
            "license": "209945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200254540A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "118181",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100444310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Via Christi Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Via Christi Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Via Christi Home Medical Wichita, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Via Christi Home Medical Wichita, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.