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Ccrc of Lenexa, LLC

NPI 1144734088ActiveOrganization· Skilled Nursing Facility· Lenexa, KS

Skilled Nursing Facility in Lenexa, Kansas, registered in NPPES in November 2017. The authorized official on file is Scott E. Gulledge, Manager By Contract. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1144734088
StatusActive
Entity typeOrganization
NPI issuedNov 30, 2017
Last updated in NPPESNov 30, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (KS)

Medicare sources and data years

Other Skilled Nursing Facility providers in Lenexa

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