LAKEMARY CENTER INC. NPI 1457326092

NPI Information

NPI: 1457326092
Provider Name: LAKEMARY CENTER, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
100 LAKEMARY DR
PAOLA, KS
ZIP 66071
Phone: (913) 557-4000
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LAKEMARY CENTER, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Paola, KS. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LAKEMARY CENTER, INC. NPI is 1457326092. The provider is registered as an organization entity type.

The provider's business location address is:

100 LAKEMARY DR
PAOLA, KS
ZIP 66071-855
Phone: (913) 557-4000
Fax: (913) 557-4910

The provider's authorized official is Shawn Kelsey .
The authorized official title is Director Of Fiscal Services and has the following contact phone number (913) 557-4000.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 2/12/2013.

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 State	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		KANSAS	No
2	251E00000X	Home Health			No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		KANSAS	Yes
4	3747P1801X	Technician	Personal Care Attendant		No

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	100029130B	MEDICAID	KANSAS

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

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