Healthcare Provider Details

I. General information

NPI: 1700503679
Provider Name (Legal Business Name): MYHEALTH AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6357 W 119TH ST
OVERLAND PARK KS
66209-2732
US

IV. Provider business mailing address

4000 CAMBRIDGE ST MAIL STOP 3011
KANSAS CITY KS
66160-8501
US

V. Phone/Fax

Practice location:
  • Phone: 913-942-6100
  • Fax: 913-945-6120
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: LUCINDA J OTT
Title or Position: VP SPEND MANAGEMENT
Credential:
Phone: 913-278-3783