Healthcare Provider Details

I. General information

NPI: 1881640670
Provider Name (Legal Business Name): CRITICARE HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 W 6TH ST
LAWRENCE KS
66044-2213
US

IV. Provider business mailing address

1006 W 6TH ST
LAWRENCE KS
66044-2213
US

V. Phone/Fax

Practice location:
  • Phone: 785-749-4878
  • Fax: 785-749-4972
Mailing address:
  • Phone: 785-749-4878
  • Fax: 785-749-4972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5-01981
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number5-01981
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number5-01981
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number5-01981
License Number StateKS

VIII. Authorized Official

Name: MS. LORI L HEASTY
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 785-749-4878