Healthcare Provider Details

I. General information

NPI: 1184753220
Provider Name (Legal Business Name): FLINTHILLS SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 W. CENTRAL
EL DORADO KS
67042
US

IV. Provider business mailing address

2375 W CENTRAL
EL DORADO KS
67042
US

V. Phone/Fax

Practice location:
  • Phone: 316-321-2325
  • Fax: 316-321-5032
Mailing address:
  • Phone: 316-221-2325
  • Fax: 316-321-5032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateKS
# 5
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateKS

VIII. Authorized Official

Name: MR. DANA ALAN KORKKI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 316-321-2325