Provider Demographics
NPI:1801862719
Name:252 HEALTH CARE CONSULTANTS INC
Entity Type:Organization
Organization Name:252 HEALTH CARE CONSULTANTS INC
Other - Org Name:EMERALD POINTE HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BART
Authorized Official - Last Name:KEENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-783-2755
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:KS
Mailing Address - Zip Code:66739-0097
Mailing Address - Country:US
Mailing Address - Phone:620-783-2755
Mailing Address - Fax:620-783-5506
Practice Address - Street 1:109 WEST EMPIRE
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:KS
Practice Address - Zip Code:66739-1013
Practice Address - Country:US
Practice Address - Phone:620-783-2755
Practice Address - Fax:620-783-5506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS314000000X
KSN011010314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10445640AMedicaid
KS100445640AMedicaid
KS10445640AMedicaid