Provider Demographics
NPI:1285525261
Name:ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Entity type:Organization
Organization Name:ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-858-2124
Mailing Address - Street 1:PO BOX 1933
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-1933
Mailing Address - Country:US
Mailing Address - Phone:316-274-4991
Mailing Address - Fax:316-768-8004
Practice Address - Street 1:818 N CARRIAGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4500
Practice Address - Country:US
Practice Address - Phone:316-274-4991
Practice Address - Fax:316-768-8004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-09
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies