Provider Demographics
NPI:1972994036
Name:SISTERS OF CHARITY OF LEAVENWORTH
Entity type:Organization
Organization Name:SISTERS OF CHARITY OF LEAVENWORTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER FOR SISTERS OF CHARITY
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PANISKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-758-6507
Mailing Address - Street 1:4200 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-5054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4200 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5054
Practice Address - Country:US
Practice Address - Phone:913-758-6589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility