NPIMap

Organization Active NPI

Midland Care Connection, Inc.

Doing business as Midland Hospice Care

  • Community Based Hospice Care Agency
  • Topeka, KS
National Provider Identifier
1962441378
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MIDLAND CARE CONNECTION, INC.
Doing business as
Midland Hospice Care
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 232-2044
Fax
(785) 232-5567
NPI assigned
Jun 5, 2006
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Mr. Shawn Sullivan
Title
Ceo
Phone
(785) 232-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

200 SW Frazier Cir
Topeka, KS 66606-2800

Mailing address

200 SW Frazier Cir
Topeka, KS 66606-2800
Phone (785) 232-2044

Other identifiers 2

IdentifierTypeStateIssuer
241OtherKSBCBS PROVIDER NUMBER
100117670BMedicaidKS

Other names 1

  • Midland Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050803000713 KS Part B Supplier - Clinic/Group Practice 1557271715 Receives reassigned benefits from 24 practitioners
Practice locations: Topeka, KS
O20060424000643 KS Part A Provider - Hospice 1557271715 Practice locations: Topeka, KS
O20081001000742 KS Part A Provider - Home Health Agency 1557271715 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Topeka, KS

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1962441378. Details of each certification follow.

Hospice certification: CCN 171506

Legal name
MIDLAND CARE CONNECTION, INC.
Doing business as
MIDLAND CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 10, 1991
Last certification
Sep 14, 2015
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1978 in KS
Enrollment address
200 SW Frazier Cir
Topeka, KS 66606-2800

Home health agency certification: CCN 178090

Legal name
MIDLAND CARE CONNECTION, INC.
Doing business as
MIDLAND CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 2011
Last certification
Jul 12, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1978 in KS
Enrollment address
200 SW Frazier Cir
Topeka, KS 66606-2800

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Midland Care Home HealthCCN 178090 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jan 20, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Midland Care HospiceCCN 171506 · All quality measures
Ownership
Non-Profit
Certified
Jun 10, 1991
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1632 Industrial Rd
Emporia, KS 66801
Phone (785) 232-2044

818 Ann Ave
Kansas City, KS 66101
Phone (785) 232-2044

319 Perry St
Lawrence, KS 66044
Phone (785) 842-3627

130 SW Frazier Ave
Topeka, KS 66606
Phone (785) 232-2044

200 SW Frazier Cir
Bldg B
Topeka, KS 66606

2134 SW Westport Dr
Topeka, KS 66614
Phone (785) 232-2044

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Kerri Mosinski Individual W-2 Managing EmployeeVP Community & New Programs Jan 2, 2019
W-2 Managing EmployeeChief Administrative Officer Jan 2, 2019
Kari Bruffett Individual Corporate OfficerBoard Member Jan 13, 2022
Corporate DirectorBoard Member Jun 1, 2021
Bernard John Hickert Individual Corporate OfficerBoard Member May 25, 2022
Corporate DirectorBoard Member May 25, 2022
Shawn M Sullivan Individual Corporate OfficerPresident/Ceo Jan 1, 2021
Corporate DirectorPresident/Ceo Jan 1, 2021
Michael Eichten Individual Corporate DirectorVice Board Chairman Jun 27, 2018
Corporate DirectorBoard Member Jun 27, 2018
John R Helms Individual Corporate OfficerBoard Member May 25, 2022
Corporate DirectorBoard Member May 25, 2022
Jenny Beaver Individual W-2 Managing EmployeeAd; Apr 1, 2026 100%
David P O'Neal Individual Corporate OfficerBoard Member May 25, 2022
Corporate DirectorBoard Member May 25, 2022

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Care of VnaKansas City, MO, CCN 261686 Hospice 5% Or Greater Direct Ownership Interest Jul 1, 2024
Hospice Care of VnaOverland Park, KS, CCN 171617 Hospice 5% Or Greater Direct Ownership Interest Jul 1, 2024
Community Care Hospice LLCMcPherson, KS, CCN 171597 Hospice 5% Or Greater Direct Ownership Interest (8%)
Operational/Managerial Control (100%)		 Jun 30, 2023
Jun 30, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Community Care Hospice LLC
    • Community Based Hospice Care Agency
    • McPherson, KS
    • NPI 1588350037

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Vna Corporation

    dba Hospice Care of VNA

    • Community Based Hospice Care Agency
    • Overland Park, KS
    • NPI 1255962759

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Vna Corporation

    dba Hospice Care of VNA

    • Community Based Hospice Care Agency
    • Kansas City, MO
    • NPI 1073144572

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

Affiliated clinicians 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1962441378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044",
            "fax_number": "785-232-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CARE CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-232-2044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "241",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117670B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midland Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.