Healthcare Provider Details

I. General information

NPI: 1497581888
Provider Name (Legal Business Name): MERIAM HEALTHCARE STAFFING , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2024
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 INDIAN CREEK PKWY
OVERLAND PARK KS
66210-2009
US

IV. Provider business mailing address

7711 HOUSTON ST
SHAWNEE KS
66227-2409
US

V. Phone/Fax

Practice location:
  • Phone: 913-405-1464
  • Fax:
Mailing address:
  • Phone: 913-405-1464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. BURAMA SANYANG
Title or Position: CEO
Credential:
Phone: 913-244-0873