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NPI Code Detail

MEDICARE: SACRED HEART HOME CARE INC

MEDICARE: SACRED HEART HOME 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
1251E00000XHome Health AgencyHHA6820AZ

General Provider Information

NPI Number : 1669874798
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART HOME CARE INC
Provider Business Mailing Address
First Line : 11244 STRANG LINE RD
Second Line :
City : LENEXA
State : KS
Zip : 66215-4039
Country : US
Telephone Number : 913-322-1088
Fax Number : 913-213-5608
Provider Business Practice Location Address
First Line : 2504 E RIVER RD
Second Line : SUITE 100
City : TUCSON
State : AZ
Zip : 85718-9555
Country : US
Telephone Number : 520-577-4630
Fax Number : 520-577-4640
Authorized Official
Title or Position : CEO
Name : MR. ROBERT BLEVINS
Credential :
Telephone Number : 913-322-1088
Provider Enumeration Date : 09/19/2014
Last Update Date : 09/19/2014

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Directions to “SACRED HEART HOME CARE INC ” Practice Location

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