Healthcare Provider Details

I. General information

NPI: 1093042376
Provider Name (Legal Business Name): STAIRS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 N MAIN
NORTH NEWTON KS
67117
US

IV. Provider business mailing address

PO BOX 1056
NEWTON KS
67114-1056
US

V. Phone/Fax

Practice location:
  • Phone: 316-253-4558
  • Fax: 316-768-4497
Mailing address:
  • Phone: 316-253-4558
  • Fax: 316-768-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JACI R SCHRAG
Title or Position: CO-OWNER
Credential:
Phone: 316-253-4558