Indian Creek Healthcare Center

LBN: Thi Of Kansas At Indian Creek, Llc
Indian Creek Healthcare Center is an health care organization with primary practice located at 6515 W 103Rd St , Overland Park KS 66212-1728. 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. Thi Of Kansas At Indian Creek, Llc can be contacted via phone (913) 642-5545, or through Caldwell, Glenna via phone (913) 642-5545.

Contact Information

Primary practice address
6515 W 103Rd St Overland Park KS 66212-1728
Phone: (913) 642-5545
Fax: (913) 642-3982
Website:
Map and Directions
Authorized official contact:
Name: Caldwell, Glenna
Phone: (913) 642-5545

Health care specialties

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

Profile Details

NPI number 1407943699
LBN Legal business name Thi Of Kansas At Indian Creek, Llc
DBA Doing business as Indian Creek Healthcare Center
Authorized official Caldwell, Glenna
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Jun 21st, 2011 - about 15 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 1407943699 NPPES
Kansas MEDICAID 1042125101

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