Providence Place, Inc.

LBN: Providence Place, Inc.
Providence Place, Inc. is an health care organization with primary practice located at 8909 Parallel Pkwy , Kansas City KS 66112-1689. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providence Place, Inc. can be contacted via phone (913) 596-4200, or through Warren, Mike via phone (913) 596-4200.

Contact Information

Primary practice address
8909 Parallel Pkwy Kansas City KS 66112-1689
Phone: (913) 596-4200
Fax: (913) 596-4904
Website:
Map and Directions
Authorized official contact:
Name: Warren, Mike
Phone: (913) 596-4200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N105013 Kansas

Profile Details

NPI number 1750385217
LBN Legal business name Providence Place, Inc.
DBA Doing business as
Authorized official Warren, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 26th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750385217 NPPES
Kansas MEDICAID 200972460A

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