Organization Active NPI

NDJJ Corp

  • Adult Care Home Facility
  • Wichita, KS
National Provider Identifier
1851715510
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
B087202 Issued in KS
Legal business name
NDJJ CORP
Practice address
6403 E Marjore
Wichita, KS 67206
Phone
(316) 253-5788
Fax
(316) 201-6372
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Nichole Marie Seiler
Title
Owner/Operator
Phone
(316) 253-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X B087202 KS Primary

Addresses

Primary practice location

6403 E Marjore
Wichita, KS 67206

Mailing address

6403 E Marjorie St
Wichita, KS 67206-1421
Phone (316) 253-5788

Other names 1

  • Home Away from Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1851715510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 E MARJORIE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061421",
            "telephone_number": "316-253-5788",
            "fax_number": "316-201-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 E MARJORE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-253-5788",
            "fax_number": "316-201-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDJJ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "SEILER",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "316-253-5788"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B087202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Away from Home",
            "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 Feb 14, 2014; 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.