Sullivan Gang Care Center
LBN: Sullivan Gang Care Center
Sullivan Gang Care Center is an health care organization with primary practice located at 6719 W. Douglas Circle , Wichita KS 67209. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Personal Care Attendant. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Sullivan Gang Care Center can be contacted via phone (316) 838-4862, or through Sullivan, Gregory D. via phone (316) 516-6242.
Contact Information
Primary practice address
6719 W. Douglas Circle
Wichita KS 67209
Phone: (316) 838-4862
Fax: (316) 262-2970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 100417670A | Kansas |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 100417670A | Kansas |
Profile Details
| NPI number | 1225246317 |
|---|---|
| LBN Legal business name | Sullivan Gang Care Center |
| DBA Doing business as | |
| Authorized official | Sullivan, Gregory D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2007 |
| Last updated | Jun 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225246317 | NPPES |
| Kansas | MEDICAID | 100417670A |
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