National Provider Identifier Database

PRISCILLA C NELSON
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

PRISCILLA C NELSON
1316 N CHARLOTTE
WICHITA, KS67208
Phone: 316-440-4406
Fax: 316-440-4407
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for PRISCILLA C NELSON

NPI Number 1497979959
Legal business name
LBN
PRISCILLA C NELSON
Authorized official PRISCILLA BACCI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/13/2007
Last updated 07/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: B087145
  • KS Medicaid: 200400780A
  • KS Medicaid: 200543750A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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