Organization
SAINT RAPHAEL HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI ELLEN CRAIG RN (ADMINISTRATOR)
(316) 269-5400
Entity
Organization
Contact information
Practice address
903 W 18TH ST N, WICHITA, KS 67203-2306
(316) 269-5400
(316) 269-5406
Mailing address
903 W 18TH ST N, WICHITA, KS 67203-2306
(316) 269-5400
(316) 269-5406
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
A-087-041
KS
251E00000X
Home Health Agency
Primary
A-087-041
KS
372600000X
Adult Companion
A-087-041
KS
3747A0650X
Attendant Care Provider
A-087-041
KS
3747P1801X
Personal Care Attendant
A-087-041
KS
374U00000X
Home Health Aide
A-087-041
KS
376J00000X
Homemaker
A-087-041
KS
376K00000X
Nurse's Aide
A-087-041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007060A
—
KS
05
—
100007060B
—
KS
05
—
100460080A
—
KS
Enumeration date
01/25/2007
Last updated
04/22/2009
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