Healthcare Provider Details

I. General information

NPI: 1427641695
Provider Name (Legal Business Name): HOME SWEET HOME CARE SERVICES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9402 W 124TH TERRACE
OVERLAND PARK KS
66213
US

IV. Provider business mailing address

9402 W 124TH TERRACE
OVERLAND PARK KS
66213
US

V. Phone/Fax

Practice location:
  • Phone: 913-636-6279
  • Fax:
Mailing address:
  • Phone: 913-636-6279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: VERONICA MIIRU NJUNGE
Title or Position: OWNER / ADMINISTRATOR
Credential: RN
Phone: 913-636-6279