Healthcare Provider Details

I. General information

NPI: 1235132119
Provider Name (Legal Business Name): VIA CHRISTI HOME HEALTH WICHITA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N MAIN ST STE 950
WICHITA KS
67202-4809
US

IV. Provider business mailing address

10 CADILLAC DR STE 400
BRENTWOOD TN
37027-1001
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-8588
  • Fax: 316-264-1265
Mailing address:
  • Phone: 417-841-4834
  • Fax: 866-955-8538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA87006
License Number StateKS

VIII. Authorized Official

Name: RUSSELL ADKINS
Title or Position: SVP CHIEF LEGAL OFFICER
Credential:
Phone: 615-309-5668