EL DORADO HOMESTEAD , NPI 1275078065
Assisted Living Facility in EL DORADO, KS
Last Updated on : Jan 03,2017
About EL DORADO HOMESTEAD (NPI 1275078065)
EL DORADO HOMESTEAD (HOMESTEAD OF EL DORADO OPERATIONS LLC) is an Assisted Living Facility in EL DORADO, United States .
1275078065 is NPI number of EL DORADO HOMESTEAD.
EL DORADO HOMESTEAD's primary taxonomy code based on NPI Lookup is 310400000X with license number N008009. This taxonomy code refers to Assisted Living Facility.
EL DORADO HOMESTEAD current practice location address is 1650 E 12TH AVE, EL DORADO, KS. EL DORADO HOMESTEAD can be reached out via phone at 316-321-7777 and via fax at 316-321-6115 .
You can also correspond with EL DORADO HOMESTEAD through mail at mailing address 1650 E 12TH AVE, EL DORADO, KS, United States. Mailing address contact number is 316-321-7777.
The enumeration date of EL DORADO HOMESTEAD is 03-Jan-2017. The provider is registered as an Organization and the NPI record was last updated 6 years ago. The authorized official of EL DORADO HOMESTEAD is Michael Tryon (CFO). Michael Tryon can be reached at 7852721535.1275078065 NPI Information
Basic NPI information of EL DORADO HOMESTEAD (NPI 1275078065) is provided below.
| Name | EL DORADO HOMESTEAD |
|---|---|
| National Provider Id (NPI) | 1275078065 |
| Entity Type | Organization |
| Practice Address | 1650 E 12TH AVE,
EL DORADO, KS, United States |
| Practice Telephone | 316-321-7777 |
| Practice Fax Number | 316-321-6115 |
| Mailing Address | 1650 E 12TH AVE ,
EL DORADO, KS, United States |
| Mailing Telephone | 316-321-7777 |
| Mailing Fax Number | 316-321-6115 |
| Enumeration Date | 03-Jan-2017 |
| Last Updated Date | 03-Jan-2017 |
EL DORADO HOMESTEAD (NPI 1275078065) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | N008009 | KS |
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.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N008009 | MEDICAID (05) | KS |
EL DORADO HOMESTEAD (NPI 1275078065) Office Location
Office location of EL DORADO HOMESTEAD is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1033626585 | CHELSEA JO BOUNDS | Nurse Practitioner, Family | 476 SALEM RD,
JUNCTION CITY, AR, United States |
05-Jan-2018 |
| 1013338375 | HAROLD OTWELL | Pharmacist | 429 WILLIAMS RD,
EL DORADO, AR, United States |
03-Jan-2014 |
| 1871778167 | EMPICARE, INC | Durable Medical Equipment & Medical Supplies | 11802 BRINLEY AVE,
LOUISVILLE, KY, United States |
04-Jan-2008 |
| 1033626650 | MIKAYLA PFLIIGER | Occupational Therapist | 214 HOPE LANDING RD,
EL DORADO, AR, United States |
04-Jan-2018 |
| 1811460462 | KELSIE ROGERS | Pharmacist | PO BOX 153,
JUNCTION CITY, AR, United States |
07-Jan-2019 |
| 1629214051 | PATRICK WATSON | Case Manager/Care Coordinator | 217 S JEFFERSON AVE,
SUITE 230 EL DORADO, AR, United States |
07-Jan-2009 |
| 1588994941 | KAREN ANN ROSS | Occupational Therapy Assistant | 1212 NORSWORTHY ST,
EL DORADO, AR, United States |
07-Jan-2010 |
| 1770056152 | NEATRICE STRICKLAND | Licensed Practical Nurse | 715 N COLLEGE AVE,
EL DORADO, AR, United States |
08-Jan-2019 |
| 1376780486 | LEAH MICHELLE EVANS | Occupational Therapy Assistant | 1908 COUNTRY SQUARE RD,
EL DORADO, AR, United States |
12-Jan-2009 |
| 1952548000 | MELISSA SUE LOWERY | Occupational Therapy Assistant | 200 W OAK ST,
EL DORADO, AR, United States |
12-Jan-2009 |
| 1073059184 | DANA PAYNE | Licensed Practical Nurse | 715 N COLLEGE AVE,
EL DORADO, AR, United States |
12-Jan-2017 |
| 1346662061 | LAUREN VAN NESS | Nurse Anesthetist, Certified Registered | 510 E 6TH ST,
EL DORADO, AR, United States |
15-Jan-2014 |
| 1831179779 | GEORGE WILLIAM SMITH | Family Medicine | 704 WEST GROVE,
SUITE 2, GEORGE W. SMITH MD EL DORADO, AR, United States |
18-Jan-2006 |
| 1942447842 | ANITA LOCKWOOD | Speech-Language Pathologist, | 200 W OAK ST,
EL DORADO, AR, United States |
14-Jan-2009 |
| 1730169863 | RAMEZ TAHER | Emergency Medicine | PO BOX 403234,
ATLANTA, GA, United States |
17-Jan-2006 |
| 1366989568 | SHANE MORR | Marriage & Family Therapist | 704 W 5TH DR,
EL DORADO, AR, United States |
25-Jan-2017 |
| 1679081285 | LEVI NATHANIEL MAGGARD | Nurse Anesthetist, Certified Registered | PO BOX 384,
BANKS, AR, United States |
17-Jan-2018 |
| 1619020427 | MICHAEL RILEY MOORE | Prosthetist | 615 W GROVE ST,
EL DORADO, AR, United States |
18-Jan-2007 |
| 1871039610 | TIFFANY HEARNSBERGER | Nurse Practitioner | 701 N WEST AVE,
EL DORADO, AR, United States |
18-Jan-2017 |
| 1578000287 | STEPHANIE MICHELE DUNN | Nurse Practitioner, Family | 232 PEBBLES ST,
HAMPTON, AR, United States |
20-Jan-2017 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1275078065?1275078065 is the NPI number of EL DORADO HOMESTEAD.
Where is EL DORADO HOMESTEAD located?EL DORADO HOMESTEAD is located at 1650 E 12TH AVE, EL DORADO, KS.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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