Douglas County Visiting Nurses Association, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

A-023-001 Issued in KS

Legal business name

DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC.

Practice address

200 Maine Street
Suite C
Lawrence, KS 66044

Phone

(785) 843-3738

Fax

(785) 843-6439

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Lewis

Title

Ceo

Phone

(785) 843-3738

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Hospice certification: CCN 171511

Legal name

DOUGLAS COUNTY VISITING NURSES ASSOCIATION INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 1, 1992

Last certification

May 10, 2018

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Apr 10, 1968 in KS

Enrollment address

200 Maine St
Ste C
Lawrence, KS 66044-1396

Other NPIs with the same Medicare PAC ID 1

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

• Douglas County Visiting Nurses Association, Inc.

  • Home Health Agency
  • Lawrence, KS
  • NPI 1851513162

  6002726585

  Same PAC ID

Listed as

Visiting Nurses HospiceCCN 171511 · All quality measures

Ownership

For-Profit

Certified

May 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Douglas County Visiting Nurses Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Douglas County Visiting Nurses Association, Inc.

  • Home Health Agency
  • Lawrence, KS
  • NPI 1851513162
  NPD tax ID

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kristen Allen, PA-C

  • Physician Assistant
  • Lawrence, KS
  • NPI 1912306150

  Corporate Director

  CMS ownership
• Caitlin Anne Elmore, MD

  • General Practice Physician
  • Lawrence, KS
  • NPI 1063909711

  Corporate Director

  CMS ownership
• Desiree Sue Gleason, D.O.

  • Internal Medicine Physician
  • Olathe, KS
  • NPI 1275862450

  Corporate Director

  CMS ownership
• Patricia Dawn Neis, ARNP

  • Family Nurse Practitioner
  • Lawrence, KS
  • NPI 1407150832

  Corporate Director

  CMS ownership
• Jodi Palmer, MD

  • Hematology & Oncology Physician
  • Lawrence, KS
  • NPI 1245472505

  Corporate Director

  CMS ownership
• David Anton Thomas, ARNP

  • Adult Health Nurse Practitioner
  • Lawrence, KS
  • NPI 1689829038

  Corporate Director

  CMS ownership
• Mark A Wiles, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lawrence, KS
  • NPI 1932107521

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Luke Michael Huerter, M.D.

  • Hematology & Oncology Physician
  • Lawrence, KS
  • NPI 1861679276

  Hospice

  Care Compare affiliation
• Hallie Kretsinger

  • Internal Medicine Physician
  • Lawrence, KS
  • NPI 1164817912

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1831396944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAINE STREET",
            "address_2": "SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-843-3738",
            "fax_number": "785-843-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAINE STREET",
            "address_2": "SUITE C",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-843-3738",
            "fax_number": "785-843-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY VISITING NURSES ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-843-3738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KS",
            "license": "A-023-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise C Doty, OTR/L
• Douglas County Child Development Association
• Douglas County Dental Clinic, Inc
• Douglas County Infant Toddler Coordinating Counsil
• Douglas County Senior Services, Inc.
• Douglas County Visiting Nurses Association, Inc.
• Douglas County Visiting Nurses Association, Inc.
• Joe Douglas, MD
• Haley Downey, PT, DPT
• Sarah Doyle, LSCSW

• Community Based Hospice Care Agency in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Community Based Hospice Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.