Provider Demographics
NPI:1477573863
Name:CHAPMAN ADULT CARE HOMES INC
Entity Type:Organization
Organization Name:CHAPMAN ADULT CARE HOMES INC
Other - Org Name:CHAPMAN VALLEY MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SHEETS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:785-922-6525
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:1009 N MARSHALL
Mailing Address - City:CHAPMAN
Mailing Address - State:KS
Mailing Address - Zip Code:67431-8821
Mailing Address - Country:US
Mailing Address - Phone:785-922-6525
Mailing Address - Fax:785-922-6902
Practice Address - Street 1:1009 N MARSHALL ST
Practice Address - Street 2:BOX 219
Practice Address - City:CHAPMAN
Practice Address - State:KS
Practice Address - Zip Code:67431-8821
Practice Address - Country:US
Practice Address - Phone:785-922-6525
Practice Address - Fax:785-922-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN021001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5088990001Medicare NSC
KS175474Medicare Oscar/Certification