ADVANCED CARE HOME PLUS LLC NPI 1861932766

NPI Information

  • NPI: 1861932766
  • Provider Name: ADVANCED CARE HOME PLUS LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 5501 POLO DR
    WICHITA, KS
    ZIP 67208
  • Phone: (316) 777-6477

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NPI Details

ADVANCED CARE HOME PLUS LLC is an adult care home custodial care facility in Wichita, KS. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ADVANCED CARE HOME PLUS LLC NPI is 1861932766. The provider is registered as an organization entity type.

The provider's business location address is:

5501 POLO DR
WICHITA, KS
ZIP 67208-753
Phone: (316) 777-6477
Fax: (316) 425-7898

The provider's authorized official is Jevans Odhuno .
The authorized official title is Rn and has the following contact phone number (316) 777-6477.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 2/27/2017.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeB087221KANSASYes

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: 3/30/2025

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