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Contact Information

CHENEY GOLDEN AGE HOME, INC.
724 NORTH MAIN STREET
CHENEY, KS67025
 Phone: 316-540-3691
 Fax: 316-542-0165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHENEY GOLDEN AGE HOME, INC.

NPI # 1790770287
LBN Legal business name CHENEY GOLDEN AGE HOME, INC.
Authorized official JESSICA MARTIN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2005
Last updated 10/16/2024 - More than a year ago
Identifiers
KS License # 100108890A
KS Medicaid 100108890A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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