LIFE CARE CENTER OF OSAWATOMIE
NPI 1275580979
Skilled Nursing Facility in Osawatomie, KS
NPI Status: Active since May 28, 2006
Contact Information
1615 PARKER AVE
OSAWATOMIE, KS
ZIP 66064
Phone: (913) 755-4165
Fax: (913) 755-6780
- Organization
- Skilled Nursing Facility
- CLIA Number: 17D0874896
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-12-2025
About LIFE CARE CENTER OF OSAWATOMIE
This page provides the complete NPI Profile along with additional information for Life Care Center Of Osawatomie, a provider established in Osawatomie, Kansas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275580979 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number N061003 (KS). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Life Care Center Of Osawatomie. The authorized official of this NPI record is Cindy S. Cross (Assistant Secretary)
- NPI
- 1275580979
- Provider Legal Name
- OSAWATOMIE HEALTH CARE, LTD.
- Other Organization Name
- LIFE CARE CENTER OF OSAWATOMIE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1615 PARKER AVE OSAWATOMIE, KS 66064
- Location Phone
- (913) 755-4165
- Location Fax
- (913) 755-6780
- Mailing Address
- 3001 KEITH ST NW CLEVELAND, TN 37312
- Mailing Phone
- (423) 473-5751
- Mailing Fax
- (913) 755-6780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2006
- Last Update Date
- 04-24-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- N061003
- License State
- KS
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100107700A | MEDICAID (05) | KS | |
| 175077 | MEDICARE OSCAR/CERTIFICATION (06) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D0874896
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- August 13, 2023
- Certificate Expiration Date
- August 12, 2025
- Laboratory Director
- CHARLES DAVIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Life Care Center Of Osawatomie in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 8 | 0 | 9 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 8 | 0 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 8 + 0 + 9 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1275580979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275667016 | MRS. DANIELLE CHRISTINE BANMAN OTR Individual | Occupational Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-6015 |
| 1659492742 | MRS. NINA G DIEDIKER OTR Individual | Occupational Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1275656886 | MR. JOSEPH H SANTOYO C.P.T.A. Individual | Physical Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1639398514 | MRS. TORE LYNN SMITHHISLER RPT Individual | Physical Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1316156292 | MRS. JENNIFER LEIGH FOY RPT Individual | Physical Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1649587346 | MRS. BRITTANY WEST Individual | Occupational Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1013224666 | MRS. KIMBERLY RENEE BREITENBACH Individual | Occupational Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4161 |
| 1952741159 | MRS. JENNIFER DAWNITA GOODMAN DPT Individual | Physical Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1093156333 | MRS. BRANDI LYN WINKLER OTR/L Individual | Occupational Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-6415 |
| 1932574720 | BRANDI ARMSTRONG COTA/L Individual | Occupational Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1811362312 | SYDNEY MEGAFFIN Individual | Occupational Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1174982664 | RAEMEE KNEPPER Individual | Physical Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 731-3275 |
| 1528422375 | LAURA KELLERMAN Individual | Physical Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1619418126 | MR. CLAYTON KELLERMAN PTA Individual | Physical Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1053845040 | ROBIN ALLEN Individual | Occupational Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1205360922 | EMILY BUSENITZ Individual | Physical Therapy Assistant | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
| 1346228921 | DR. CHARLES ISAAC DAVIS JR. MD Individual | Internal Medicine (Geriatric Medicine) | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 660-1616 |
| 1649592296 | CIERRA DILLARD APRN Individual | Nurse Practitioner (Family) | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 660-1616 |
| 1144565433 | CALLIE M CALLAHAN APRN Individual | Nurse Practitioner (Adult Health) | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 660-1616 |
| 1265091565 | KIRK B RIEPE DPT, ATC Individual | Physical Therapist | 1615 PARKER AVE OSAWATOMIE, KS 66064 (913) 755-4165 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275580979, enumerated in the NPI registry as an "organization" on May 28, 2006
The provider is located at 1615 Parker Ave Osawatomie, Ks 66064 and the phone number is (913) 755-4165
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 17D0874896 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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