SATANTA LONG TERM CARE
NPI 1750334512
Custodial Care Facility - Adult Care Home in Satanta, KS

NPI Status: Active since May 19, 2006

Contact Information

401 CHEYENNE STREET
SATANTA, KS
ZIP 67870
Phone: (620) 649-2761
Fax: (620) 649-2776

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Custodial Care Facility
Adult Care Home
Accepts Insurance

About SATANTA LONG TERM CARE

This page provides the complete NPI Profile along with additional information for Satanta Long Term Care, a provider established in Satanta, Kansas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1750334512 assigned on May 2006. The practitioner's primary taxonomy code is 311ZA0620X with license number 1040568501 (KS). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Satanta Long Term Care. The authorized official of this NPI record is Jeremy Clingenpeel (Administrator)

NPI: 1750334512
Provider Legal Name: SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Other Organization Name: SATANTA LONG TERM CARE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 401 CHEYENNE STREET SATANTA, KS 67870
Location Phone: (620) 649-2761
Location Fax: (620) 649-2776
Mailing Address: PO BOX 159 SATANTA, KS 67870
Mailing Phone: (620) 649-2761
Mailing Fax: (620) 649-2776
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-19-2006
Last Update Date: 05-08-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Custodial Care Facility Adult Care Home
Taxonomy Code: 311ZA0620X
Type: Nursing & Custodial Care Facilities
License No.: 1040568501
License State: KS
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	314000000X	Nursing & Custodial Care Facilities	Skilled Nursing Facility	1040568501 (KS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter from Nebraska Total Care

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO

Ambetter from Sunflower Health Plan

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter of Oklahoma

Elite Bronze - PPO
Elite Bronze + Vision + Adult Dental - PPO
Elite Gold - PPO
Elite Gold + Vision + Adult Dental - PPO
Everyday Bronze - PPO
Everyday Bronze + Vision + Adult Dental - PPO
Everyday Gold - PPO
Everyday Gold + Vision + Adult Dental - PPO
Focused Silver - PPO
Focused Silver + Vision + Adult Dental - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JEREMY CLINGENPEEL
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (620) 649-2761

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
H041001	OTHER (01)	KS	STATE LICENSE FOR HOSPITA
17E356	OTHER (01)	KS	FEDERAL PROVIDER #
100107120A	MEDICAID (05)	KS
1040568501	OTHER (01)	KS	STATE PROVIDER #

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	3	3	4	5	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	6	3	8	5	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 8 + 5 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1750334512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

MYRNA LOUISE GUMPENBERGER ARNP

Nurse Practitioner

(Family)