MEDICARE: HEART OF AMERICA HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	A105168	KS

General Provider Information

NPI Number	:	1467750133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART OF AMERICA HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	3118 N 128TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4342
Country	:	US
Telephone Number	:	913-645-1141
Fax Number	:	913-904-0168

Provider Business Practice Location Address
First Line	:	3118 N 128TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4342
Country	:	US
Telephone Number	:	913-645-1141
Fax Number	:	913-904-0168

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANELLE M HENDIN
Credential	:
Telephone Number	:	913-645-1141

Provider Enumeration Date	:	03/04/2011
Last Update Date	:	04/09/2013

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