MEDICALODGES INC. NPI 1437410651

NPI Information

NPI: 1437410651
Provider Name: MEDICALODGES, INC.

Doing Business As: GRAN VILLAS PITTSBURG

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

Address:
1004 E CENTENNIAL DR
PITTSBURG, KS
ZIP 66762
Phone: (620) 231-4554
Get Directions

MEDICALODGES, INC. is an assisted living facility in Pittsburg, KS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MEDICALODGES, INC. NPI is 1437410651. The provider is registered as an organization entity type.
The provider Is Doing Business As Gran Villas Pittsburg.

The provider's business location address is:

1004 E CENTENNIAL DR
PITTSBURG, KS
ZIP 66762-565
Phone: (620) 231-4554
Fax: (620) 231-1156

The provider's authorized official is Scott L Hines .
The authorized official title is Chief Financial Officer and has the following contact phone number (620) 709-0305.

The CLIA number assigned to this NPI record is 17D2159631 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 7/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		N019009	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N019009	OTHER	KANSAS	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »