Mid-America At Peabody, Llc

LBN: Mid-America At Peabody, Llc
Mid-America At Peabody, Llc is an health care organization with primary practice located at 407 N Locust St , Peabody KS 66866-1117. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Mid-America At Peabody, Llc can be contacted via phone (620) 983-2152, or through Nichols, Victoria via phone (620) 983-2152.

Contact Information

Primary practice address
407 N Locust St Peabody KS 66866-1117
Phone: (620) 983-2152
Fax: (620) 983-2281
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Victoria ADMINISTRATOR
Phone: (620) 983-2152

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 100419260A Kansas
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 100419260A Kansas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100107310A Kansas

Profile Details

NPI number 1518954569
LBN Legal business name Mid-America At Peabody, Llc
DBA Doing business as
Authorized official Nichols, Victoria ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 30th, 2011 - about 13 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 1518954569 NPPES
Kansas MEDICAID 100107310A
Kansas MEDICAID 100419260A

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