Carondelet Long Term Care Facilities Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N046028 Issued in KS

Legal business name

CARONDELET LONG TERM CARE FACILITIES INC

Practice address

11901 Rosewood Dr
Overland Park, KS 66209-3533

Phone

(913) 345-1745

Fax

(913) 345-1346

NPI assigned

Aug 16, 2005

Organization subpart

No

Name

Kellie Gronefeld

Title

Coo

Phone

(314) 729-3500

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Edalati, MD

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1477669141
  NPD (past)
• Melissa Ann Middlemas, D.O.

  • Hospitalist Physician
  • Overland Park, KS
  • NPI 1598929945
  NPD (past)

• Ascension Living St. Joseph Place Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2024.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1972595080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 ROSEWOOD DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093533",
            "telephone_number": "913-345-1745",
            "fax_number": "913-345-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 ROSEWOOD DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093533",
            "telephone_number": "913-345-1745",
            "fax_number": "913-345-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET LONG TERM CARE FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "GRONEFELD",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-729-3500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N046028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041142301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Living St. Joseph Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladd Carlston, D.C.
• Danielle Lea Carmitchel, APRN-C
• Carol Foulds MD
• Bradley William Carolan, D.C.
• Carondelet Home Care Services, Inc.
• Carondelet Management Company, Inc.
• Carondelet Orthopaedic Surgeons PA
• Carondelet Physician Services Inc.
• Cory Tyson Carpenter, D.O.
• Heather Anne Carpenter, MSW, LCSW, LSCSW

• All providers in Overland Park, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.