Provider Demographics
NPI:1619125234
Name:SPECIAL CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIAL CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-540-3325
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:KS
Mailing Address - Zip Code:67025-0485
Mailing Address - Country:US
Mailing Address - Phone:316-540-3325
Mailing Address - Fax:316-542-9865
Practice Address - Street 1:316 GREENWOOD CT
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:KS
Practice Address - Zip Code:67025-9009
Practice Address - Country:US
Practice Address - Phone:316-540-3325
Practice Address - Fax:316-542-9865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100045440AOtherMEDICAID HCBS