Cheney Golden Age Home, Inc.

LBN: Cheney Golden Age Home, Inc.
Cheney Golden Age Home, Inc. is an health care organization with primary practice located at 724 N Main St , Cheney KS 67025-9059. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Cheney Golden Age Home, Inc. can be contacted via phone (316) 540-3691, or through Achilles, Teresa via phone (316) 540-3691.

Contact Information

Primary practice address
724 N Main St Cheney KS 67025-9059
Phone: (316) 540-3691
Fax: (316) 542-0165
Website:
Map and Directions
Authorized official contact:
Name: Achilles, Teresa
Phone: (316) 540-3691

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 100108890A Kansas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100108890A Kansas

Profile Details

NPI number 1790770287
LBN Legal business name Cheney Golden Age Home, Inc.
DBA Doing business as
Authorized official Achilles, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Feb 4th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790770287 NPPES
Kansas MEDICAID 100108890A

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