NPIMap

Organization Active NPI

Medicalodges, Inc.

  • Adult Day Care Clinic/Center
  • Hiawatha, KS
National Provider Identifier
1962583765
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
N007006 Issued in KS
Legal business name
MEDICALODGES, INC.
Doing business as
Gran Villas Hiawatha
Practice address
400 Kansas Ave
Hiawatha, KS 66434-1954
Phone
(785) 742-4566
Fax
(785) 742-4573
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Cathy W Fisher
Title
Chief Financial Officer
Phone
(620) 251-6700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N007006 KS
Adult Day Care Clinic/Center 261QA0600X N007006 KS Primary
Customized Equipment (DME) 332BC3200X N007006 KS

Addresses

Primary practice location

400 Kansas Ave
Hiawatha, KS 66434-1954

Mailing address

400 Kansas Ave
Hiawatha, KS 66434-1954
Phone (785) 742-4566

Other identifiers 1

IdentifierTypeStateIssuer
100026530PMedicaidKS

Other names 1

  • Gran Villas Hiawatha Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

400 Kansas Ave
Hiawatha, KS 66434
Phone (785) 450-9034

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1962583765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KANSAS AVE",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664341954",
            "telephone_number": "785-742-4566",
            "fax_number": "785-742-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KANSAS AVE",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664341954",
            "telephone_number": "785-742-4566",
            "fax_number": "785-742-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "N007006",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KS",
            "license": "N007006",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "N007006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026530P",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gran Villas Hiawatha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.