Provider Demographics
NPI:1508329905
Name:KARAWAY LLC
Entity Type:Organization
Organization Name:KARAWAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN, OPERATOR, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KANATZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-246-6237
Mailing Address - Street 1:3203 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618-2732
Mailing Address - Country:US
Mailing Address - Phone:785-608-4535
Mailing Address - Fax:
Practice Address - Street 1:1815 SW WESTWOOD CIR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3269
Practice Address - Country:US
Practice Address - Phone:785-246-6237
Practice Address - Fax:785-215-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201216990AMedicaid