Healthcare Provider Details

I. General information

NPI: 1134921059
Provider Name (Legal Business Name): KNEEDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 N 78TH TER UNIT 9046
KANSAS CITY KS
66112-5863
US

IV. Provider business mailing address

PO BOX 9046
KANSAS CITY KS
66112-9046
US

V. Phone/Fax

Practice location:
  • Phone: 913-703-4123
  • Fax:
Mailing address:
  • Phone: 913-703-4123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SOPHIA-LYNNE FLOWERS
Title or Position: COO
Credential:
Phone: 913-703-4123