Healthcare Provider Details

I. General information

NPI: 1861285314
Provider Name (Legal Business Name): COMPASSIONATE HEARTS OF KANSAS CITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 06/29/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 N PEAR ST
GARDNER KS
66030-7808
US

IV. Provider business mailing address

138 N PEAR ST
GARDNER KS
66030-7808
US

V. Phone/Fax

Practice location:
  • Phone: 913-660-5207
  • Fax:
Mailing address:
  • Phone: 913-353-5682
  • Fax: 913-353-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: TOMIRA L. JEFFERSON
Title or Position: OWNER
Credential:
Phone: 913-353-5682