MEDICARE: THE LAYA CENTER, 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	251F00000X	Home Infusion Agency
2	261QI0500X	Infusion Therapy Clinic/Center
3	261QH0100X	Health Service Clinic/Center	1332984960	MO

General Provider Information

NPI Number	:	1831602309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LAYA CENTER, LLC

Provider Business Mailing Address
First Line	:	1814 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1821
Country	:	US
Telephone Number	:	816-912-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1814 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-1821
Country	:	US
Telephone Number	:	816-912-3258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYIA MAYS
Credential	:
Telephone Number	:	816-832-7868

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	10/06/2021

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Directions to “THE LAYA CENTER, LLC ” Practice Location

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