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GRAN VILLAS PITTSBURG
NPI 1437410651
Assisted Living Facility in Pittsburg, KS

Active since June 05, 2012CLIA 17D2159631 · Waiver
1004 E CENTENNIAL DR, PITTSBURG, KS 66762(620) 231-4554(620) 231-1156 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gran Villas Pittsburg NPPES

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

GRAN VILLAS PITTSBURG (NPI 1437410651) is a healthcare organization registered as an assisted living facility in Pittsburg, Kansas and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Scott L Hines, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1437410651
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEDICALODGES, INC.
Location Address1004 E CENTENNIAL DRPittsburg, KS 66762-6565
Mailing Address1004 E Centennial DrPittsburg, KS 66762-6565 · (620) 231-4554 · Fax (620) 231-1156
Phone(620) 231-4554
Fax(620) 231-1156
Organization SubpartNo
Authorized OfficialScott L HinesChief Financial Officer · (620) 709-0305
Enumeration DateJune 5, 2012
Last NPPES UpdateJuly 30, 2012
✔ NPI 1437410651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N019009
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1004 E CENTENNIAL DR, Pittsburg, KS 66762
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Other Names 1

Doing Business AsGran Villas Pittsburg

Other Identifiers 1

OtherN019009KS · State License Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2159631

Gran Villas Pittsburg · Pittsburg, KS
Active · expires Dec 19, 2026
CLIA Number17D2159631
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorKimberly Burlingham
Laboratory Phone(620) 231-4556
Laboratory LocationGran Villas Pittsburg1004 E Centennial, Pittsburg, KS 66762
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Medicalodges, Inc.'s NPI number?

The NPI number for Medicalodges, Inc. is 1437410651. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is doing business as Gran Villas Pittsburg.

Where is Medicalodges, Inc. located?

Medicalodges, Inc. is located at 1004 E Centennial Dr, Pittsburg, KS 66762. The listed phone number is (620) 231-4554.

What is Medicalodges, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Medicalodges, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2159631) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medicalodges, Inc. was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.