Dba Riverside Academy, Previously Camelot Of Kansas, Llc

LBN: Sequel Of Kansas, Llc
Dba Riverside Academy, Previously Camelot Of Kansas, Llc is an health care organization with primary practice located at 2050 W. 11Th St N, , Wichita KS 67203. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Sequel Of Kansas, Llc can be contacted via phone (316) 267-5710, or through Sell, Heather D. via phone (316) 267-5710.

Contact Information

Primary practice address
2050 W. 11Th St N, Wichita KS 67203
Phone: (316) 267-5710
Fax: (316) 267-5710
Website:
Map and Directions
Authorized official contact:
Name: Sell, Heather D. MSM
Phone: (316) 267-5710

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 62020 Kansas

Profile Details

NPI number 1710172473
LBN Legal business name Sequel Of Kansas, Llc
DBA Doing business as Dba Riverside Academy, Previously Camelot Of Kansas, Llc
Authorized official Sell, Heather D. MSM
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2007
Last updated Aug 30th, 2011 - 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 1710172473 NPPES
Kansas MEDICAID 200540330B
Kansas MEDICAID 128807500

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