Healthcare Provider Details

I. General information

NPI: 1114221959
Provider Name (Legal Business Name): LLL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7513 W 139TH TER 405
OVERLAND PARK KS
66223-4203
US

IV. Provider business mailing address

7513 W 139TH TER 405
OVERLAND PARK KS
66223-4203
US

V. Phone/Fax

Practice location:
  • Phone: 913-685-2273
  • Fax:
Mailing address:
  • Phone: 913-685-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE WEINRICH
Title or Position: SECRETARY
Credential:
Phone: 913-685-2273