Healthcare Provider Details

I. General information

NPI: 1437560943
Provider Name (Legal Business Name): CRAIG RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 SW HUNTOON ST
TOPEKA KS
66604-1837
US

IV. Provider business mailing address

1220 E 1ST ST N
WICHITA KS
67214-3907
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-8221
  • Fax: 785-232-8239
Mailing address:
  • Phone: 316-266-8717
  • Fax: 316-266-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-089-031
License Number StateKS

VIII. Authorized Official

Name: LEOLA CHRISTINE BOGARD
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 316-266-8717