Healthcare Provider Details

I. General information

NPI: 1689699837
Provider Name (Legal Business Name): CRAIG RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 316-264-9988
  • Fax: 316-264-0016
Mailing address:
  • Phone: 316-266-8717
  • Fax: 316-266-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-068-002
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-089-031
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-050-007
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA200609
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberA-089-031
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberA-050-007
License Number StateKS
# 8
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberA-087-046
License Number StateKS
# 9
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberA-085-010
License Number StateKS
# 10
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberA-068-002
License Number StateKS
# 11
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 12
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-085-010
License Number StateKS

VIII. Authorized Official

Name: JOYCE A BULMAN
Title or Position: VP OF QUALITY & COM PLIANCE
Credential:
Phone: 651-789-0926