Healthcare Provider Details

I. General information

NPI: 1285780320
Provider Name (Legal Business Name): ASSOCIATED HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W CENTRAL AVE
EL DORADO KS
67042-2105
US

IV. Provider business mailing address

117 W CENTRAL AVE
EL DORADO KS
67042-2105
US

V. Phone/Fax

Practice location:
  • Phone: 316-320-0473
  • Fax: 316-320-7704
Mailing address:
  • Phone: 316-320-0473
  • Fax: 316-320-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-008-008
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberA-008-008
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberA-008-008
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberA-008-008
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberA-008-008
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberA-008-008
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberA-008-008
License Number StateKS
# 8
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberA-008-008
License Number StateKS

VIII. Authorized Official

Name: MRS. LAURENA KLEIN
Title or Position: PRESIDENT
Credential: RN
Phone: 316-320-0473