MEDICARE: CRAIG RESOURCES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care	A-087-046	KS
2	251E00000X	Home Health Agency
3	251E00000X	Home Health Agency	A-068-002	KS
4	251E00000X	Home Health Agency	HHA200609	NE
5	385H00000X	Respite Care	A-050-007	KS
6	385H00000X	Respite Care	A-085-010	KS
7	385H00000X	Respite Care	A-089-031	KS
8	251E00000X	Home Health Agency	A-089-031	KS
9	385H00000X	Respite Care
10	251E00000X	Home Health Agency	A-050-007	KS
11	385H00000X	Respite Care	A-068-002	KS
12	251E00000X	Home Health Agency	A-085-010	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689699837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG RESOURCES LLC

Provider Business Mailing Address
First Line	:	1220 E 1ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3907
Country	:	US
Telephone Number	:	316-266-8717
Fax Number	:	316-266-8757

Provider Business Practice Location Address
First Line	:	1220 E 1ST ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67214-3907
Country	:	US
Telephone Number	:	316-264-9988
Fax Number	:	316-264-0016

Authorized Official
Title or Position	:	CAO & VP
Name	:	CAMEO ZEHNDER
Credential	:
Telephone Number	:	651-642-1825

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	04/06/2026

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Directions to “CRAIG RESOURCES LLC ” Practice Location

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