MARY SAMBOU
NPI 1104666908
Custodial Care Facility - Adult Care Home in Wichita, KS

Active since May 29, 2024
742 W 50TH CT S, WICHITA, KS 67217(316) 399-5479 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Sambou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SAMBOU (NPI 1104666908) is an individual adult care home provider in Wichita, Kansas, licensed in Kansas (B087271) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1104666908
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMARY SAMBOU
Location Address742 W 50TH CT SWichita, KS 67217-5025
Mailing Address742 W 50th Ct SWichita, KS 67217-5025 · (316) 399-5479
Sole ProprietorYes
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1104666908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in KS · B087271
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
742 W 50TH CT S, Wichita, KS 67217

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
742 W 50TH CT S
WICHITA, KS 67217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Sambou's NPI number?

The NPI number for Mary Sambou is 1104666908. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Mary Sambou located?

Mary Sambou practices at 742 W 50th Ct S, Wichita, KS 67217. The listed phone number is (316) 399-5479.

What is Mary Sambou's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mary Sambou was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.