NPIMap

Organization Active NPI

Ascension Via Christi Home Medical Wichita, LLC

Doing business as Ascension Via Christi Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Garden City, KS
National Provider Identifier
1841236346
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Doing business as
Ascension Via Christi Home Medical
Via Christi Home Medical
Practice address
322 N Main St
Garden City, KS 67846-5426
Phone
(620) 275-0863
NPI assigned
Jun 22, 2006
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

322 N Main St
Garden City, KS 67846-5426

Mailing address

PO Box 1933
Wichita, KS 67201-1933
Phone (620) 275-0863

Other identifiers 2

IdentifierTypeStateIssuer
48488OtherKSBLUE CROSS/BLUE SHIELD
100444300AMedicaidKS

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
O20100930095431 KS DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9234256488 Practice locations: Garden City, KS

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ascension Via Christi Home Medical322 N Main St, Garden City, KS 67846-5426(620) 227-7080 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: Pressure Reducing Beds/M… Does not accept assignmentParticipating since Jan 1, 1997

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.

Locations

322 N Main St
Garden City, KS 67846
Phone (620) 227-7080

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1841236346",
    "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": "620-275-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAIN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465426",
            "telephone_number": "620-275-0863"
        }
    ],
    "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": "2006-06-22",
        "last_updated": "2019-06-18",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "48488",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100444300A",
            "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 Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.