Provider Demographics
NPI:1811454689
Name:MEALS ON WHEELS OF EASTERN KANSAS, INC.
Entity type:Organization
Organization Name:MEALS ON WHEELS OF EASTERN KANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO MIDLAND/CHAIR OF MOW BOARD
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-232-2044
Mailing Address - Street 1:200 SW FRAZIER CIR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2800
Mailing Address - Country:US
Mailing Address - Phone:785-232-2044
Mailing Address - Fax:
Practice Address - Street 1:2134 SW WESTPORT DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1932
Practice Address - Country:US
Practice Address - Phone:785-232-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDLAND CARE CONNECTION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200736600AMedicaid