Healthcare Provider Details

I. General information

NPI: 1700025640
Provider Name (Legal Business Name): ADVOCACY FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 10/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 EMERSON AVE
BONNER SPRINGS KS
66012-1118
US

IV. Provider business mailing address

PO BOX 305
BONNER SPRINGS KS
66012-0300
US

V. Phone/Fax

Practice location:
  • Phone: 913-961-6563
  • Fax: 913-441-1009
Mailing address:
  • Phone: 913-961-6563
  • Fax: 913-441-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateKS

VIII. Authorized Official

Name: MRS. TAMERA LYNN PAINE
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 913-961-6563