Provider Demographics
NPI:1316483696
Name:ST. ANTHONY'S SENIOR CARE HOSPITAL OLATHE, LLC
Entity type:Organization
Organization Name:ST. ANTHONY'S SENIOR CARE HOSPITAL OLATHE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-448-0850
Mailing Address - Street 1:10300 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3135
Mailing Address - Country:US
Mailing Address - Phone:316-448-0850
Mailing Address - Fax:316-448-0855
Practice Address - Street 1:14200 W 134TH PL
Practice Address - Street 2:SUITE 400
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6140
Practice Address - Country:US
Practice Address - Phone:913-322-3111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AXIOM GERI PSYCH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-11
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital