# CATHOLIC CARE CAMPUS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Plaza Health Services at Santa Marta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215107222
- **Authorized official:** CHESTER SURMACZEWICZ (EXECUTIVE DIRECTOR/PRESIDENT)
- **Authorized official phone:** (913) 906-0990

## Contact information

- **Practice address:** 13800 W 116TH ST, OLATHE, KS 66062-7833
- **Practice address phone:** (913) 906-0990
- **Practice address fax:** (913) 906-0911
- **Mailing address:** 13800 W 116TH ST., OLATHE, KS 66062
- **Mailing address phone:** (913) 906-0990
- **Mailing address fax:** (913) 906-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N046075 | KS | — |
| 311500000X | Alzheimer Center (Dementia Center) | N046075 | KS | — |
| 314000000X | Skilled Nursing Facility | N046075 | KS | Yes |

## Other

- **Enumeration date:** 03/05/2008
- **Last updated:** 01/23/2013