Healthcare Provider Details

I. General information

NPI: 1730314840
Provider Name (Legal Business Name): HOUSE OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7914 LEAVENWORTH RD
KANSAS CITY KS
66109-1578
US

IV. Provider business mailing address

7914 LEAVENWORTH RD
KANSAS CITY KS
66109-1578
US

V. Phone/Fax

Practice location:
  • Phone: 913-206-6698
  • Fax: 913-328-0219
Mailing address:
  • Phone: 913-206-6698
  • Fax: 913-328-0219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number14-60883-072
License Number StateKS

VIII. Authorized Official

Name: MS. SUSAN C COYLE
Title or Position: DIRECTOR
Credential:
Phone: 913-206-6698