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NPI Code Detail

MEDICARE: SACRED HEART HOME HEALTH CARE INC

MEDICARE: SACRED HEART HOME HEALTH CARE INC
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
1251G00000XCommunity Based Hospice Care AgencyA105163KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A105163OTHERKSKANSAS STATE LICENSE

General Provider Information

NPI Number : 1639437320
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : 7735 WASHINGTON AVE STE D
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2464
Country : US
Telephone Number : 913-334-1058
Fax Number : 913-334-1196
Provider Business Practice Location Address
First Line : 7735 WASHINGTON AVE STE D
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2464
Country : US
Telephone Number : 913-334-1058
Fax Number : 913-334-1196
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. ROBERT BLEVINS
Credential :
Telephone Number : 913-334-1058
Provider Enumeration Date : 05/01/2012
Last Update Date : 05/01/2012

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Directions to “SACRED HEART HOME HEALTH CARE INC ” Practice Location

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