Healthcare Provider Details

I. General information

NPI: 1144194192
Provider Name (Legal Business Name): MARY MARIE GIFTED HANDS SENIOR CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2046 N 9TH ST
KANSAS CITY KS
66101-1560
US

IV. Provider business mailing address

2046 N 9TH ST
KANSAS CITY KS
66101-1560
US

V. Phone/Fax

Practice location:
  • Phone: 816-993-8100
  • Fax:
Mailing address:
  • Phone: 816-993-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MYRISHA SOWELL
Title or Position: CEO
Credential:
Phone: 816-993-8100