Healthcare Provider Details

I. General information

NPI: 1871985689
Provider Name (Legal Business Name): MIDLAND CARE CONNECTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

IV. Provider business mailing address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-2044
  • Fax:
Mailing address:
  • Phone: 785-232-2044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS

VIII. Authorized Official

Name: MR. SHAWN SULLIVAN
Title or Position: CEO
Credential:
Phone: 785-232-2044