Healthcare Provider Details

I. General information

NPI: 1548428402
Provider Name (Legal Business Name): HOSPICE CARE OF KANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15329 W 95TH ST
LENEXA KS
66219-1262
US

IV. Provider business mailing address

15329 W 95TH ST
LENEXA KS
66219-1262
US

V. Phone/Fax

Practice location:
  • Phone: 817-551-0337
  • Fax: 817-731-3529
Mailing address:
  • Phone: 817-551-0337
  • Fax: 817-731-3529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number07999095
License Number StateKS

VIII. Authorized Official

Name: MATT G POSEY
Title or Position: CEO
Credential:
Phone: 817-551-0945