Prime Healthcare Services-Providence, LLC
NPI 1639624364ActiveOrganization· Skilled Nursing Facility· Kansas City, KS
Skilled Nursing Facility in Kansas City, Kansas, registered in NPPES in August 2016. The authorized official on file is Christopher Doan, Chief Compliance Counsel.
Overview
| NPI | 1639624364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2016 |
| Last updated in NPPES | Aug 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | N105013 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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