Active NPI
Craig Resources LLC
Doing business as Craig HomeCare
- Home Health Agency
- Wichita, KS
National Provider Identifier
1821409541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A-087-046
- Legal business name
- CRAIG RESOURCES LLC
- Doing business as
- Craig HomeCare
Pediatric Home Service - Practice address
- 757 N Waco, Ste 185
Wichita, KS 67203 - Phone
- (316) 264-9988
- Fax
- (316) 264-0016
- NPI assigned
- May 15, 2014
- Last updated
- Mar 17, 2025
- 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
- Leola Christine Bogard
- Title
- Revenue Cycle Manager
- Phone
- (316) 266-8717
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A-087-046 | KS | Primary |
| Nursing Care Agency | 251J00000X | NU | ||
| Respite Care | 385H00000X | NU |
Addresses
Primary practice location
757 N Waco, Ste 185
Wichita, KS 67203
Mailing address
1220 E 1St St N
Wichita, KS 67214-3907
Phone (316) 266-8717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003931500001 | Medicaid | KS | |
| 100007090O | Medicaid | KS |
Other names 2
- Craig HomeCare
- Pediatric Home Service
National Provider Directory
National Provider Directory- Tax ID family
- Craig Resources LLC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Craig HomeCare
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saint Louis, MO
- NPI 1164809869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1821409541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E 1ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143907",
"telephone_number": "316-266-8717",
"fax_number": "316-266-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 N WACO, STE 185",
"city": "WICHITA",
"state": "KS",
"postal_code": "67203",
"telephone_number": "316-264-9988",
"fax_number": "316-264-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-15",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "BOGARD",
"authorized_official_first_name": "LEOLA",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "316-266-8717"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "KS",
"license": "A-087-046",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003931500001",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100007090O",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Craig HomeCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Craig HomeCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pediatric Home Service",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.