Provider Demographics
NPI:1093961443
Name:HEALTH MANAGEMENT OF KANSAS, INC.
Entity Type:Organization
Organization Name:HEALTH MANAGEMENT OF KANSAS, INC.
Other - Org Name:D/B/A WINDSOR PLACE AT INDEPENDENCE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-251-6545
Mailing Address - Street 1:614 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KS
Mailing Address - Zip Code:67301-4205
Mailing Address - Country:US
Mailing Address - Phone:620-251-6545
Mailing Address - Fax:620-251-2914
Practice Address - Street 1:614 S 8TH ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KS
Practice Address - Zip Code:67301-4205
Practice Address - Country:US
Practice Address - Phone:620-251-6545
Practice Address - Fax:620-251-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS175511Medicare Oscar/Certification