Provider Demographics
NPI:1629146329
Name:THE CAPPER FOUNDATION EASTER SEALS
Entity Type:Organization
Organization Name:THE CAPPER FOUNDATION EASTER SEALS
Other - Org Name:THE CAPPER FOUNDATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-272-4060
Mailing Address - Street 1:THE CAPPER FOUNDATION EASTER SEALS
Mailing Address - Street 2:3500 SW 10TH AVE
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1995
Mailing Address - Country:US
Mailing Address - Phone:785-272-4060
Mailing Address - Fax:785-272-7912
Practice Address - Street 1:THE CAPPER FOUNDATION EASTER SEALS
Practice Address - Street 2:3500 SW 10TH AVE
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1995
Practice Address - Country:US
Practice Address - Phone:785-272-4060
Practice Address - Fax:785-272-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS118041OtherBCBS KS FOR HME
KS115063OtherBCBS KS