Healthcare Provider Details
I. General information
NPI: 1881543635
Provider Name (Legal Business Name): HOSANNA HEALTHCARE SENIOR LIVING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
612 S VALLEY RD
OLATHE KS
66061-3902
US
IV. Provider business mailing address
612 S VALLEY RD
OLATHE KS
66061-3902
US
V. Phone/Fax
- Phone: 816-510-2473
- Fax:
- Phone: 816-510-2473
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376G00000X |
| Taxonomy | Nursing Home Administrator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHODA
TANDOH
Title or Position: OWNER / OPERATOR
Credential:
Phone: 816-510-2473