OrganizationActive
Pnc Group LLC
NPI 1093419764 · Adult Care Home Facility · Wichita, KS
Provider details
- NPI number
- 1093419764
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Derek Hammond, Owner(316) 806-9242
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Practice location
5501 E Polo Dr
Wichita, KS 67208-2753
Phone: (316) 806-9242
Approximate (ZIP-level) locationGet directions
Mailing address
5501 E Polo Dr
Wichita, KS 67208-2753
Other names (DBA / former)
- Doing business as
- Advanced Care Home Plus
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.