Healthcare Provider Details
I. General information
NPI: 1033078654
Provider Name (Legal Business Name): MYHEALTH AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15123 S OMC PKWY
OLATHE KS
66061-7251
US
IV. Provider business mailing address
4000 CAMBRIDGE ST MAIL STOP 3011
KANSAS CITY KS
66160-8501
US
V. Phone/Fax
- Phone: 913-355-3927
- Fax: 913-945-6120
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LUCINDA
J
OTT
Title or Position: VP SPEND MANAGEMENT
Credential:
Phone: 913-278-3783