GRACIOUS SENIOR LIVING, LLC – NPI #1669782231
Nursing Facility/Intermediate Care Facility

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

GRACIOUS SENIOR LIVING, LLC is a facility located in WICHITA, KS. NPPES has assigned the NPI number 1669782231 to GRACIOUS SENIOR LIVING, LLC on October 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 313M00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Facility/Intermediate Care Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACIOUS SENIOR LIVING, LLC below.

NPI Profile for
GRACIOUS SENIOR LIVING, LLC

NPI Number
1669782231
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACIOUS SENIOR LIVING, LLC
Primary location
551 S. HOLLAND
WICHITA, KS 67209
Phone: (316) 771-7316 Fax: (316) 771-7319
Mailing address
3825 E. HARRY
WICHITA, KS 67218-3722
Phone: (316) 771-7316 Fax: (316) 771-7319
Organization Subpart
No
Authorized Official
CHRISTINE BACCI
DIRECTOR OF OPERATIONS
Phone: (316) 771-7316
Updated
Identifiers

Identifiers for GRACIOUS SENIOR LIVING, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE NURSING HOME LICENSEKSB087171
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
313M00000X
- Nursing Facility/Intermediate Care Facility (Primary)
KS B087171

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.