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EL DORADO HOMESTEAD , NPI 1275078065

Assisted Living Facility in EL DORADO, KS

Last Updated on : Jan 03,2017

EL DORADO HOMESTEAD , NPI 1275078065

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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