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General NPI Number Information
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NPI Number | 1558221960
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Entity Type | Organization
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Legal Business Name | ELADS HOUSE HOME PLUS LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 5220 N HONEYLOCUST ST
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City | BEL AIRE
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State | KS
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Zip | 67226
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Country | US
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Telephone | 316-282-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 5006 LOOMAN ST
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City | WICHITA
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State | KS
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Zip | 67220-3031
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Country | US
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Telephone | 316-282-4819
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Fax |
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Authorized Official
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Title or Position | OPERATOR
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Name | MS. LARISSA E ELAD
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Credential |
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Telephone | 316-282-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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