| Organization Name: | CATHOLIC CARE CAMPUS, INC. |
| NPI Number: | 1215107222 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHESTER SURMACZEWICZ (EXECUTIVE DIRECTOR/PRESIDENT) |
| Mailing Address: | 13800 W 116th St Olathe |
| State: | KS US |
| Postal Code: | 660627833 |
| Phone Number: | 9139060990 |
| Fax Number: | 9139060911 |
| NPI Enumeration Date: | 03/05/2008 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | N046075 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy 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. |