Healthcare Provider Details

I. General information

NPI: 1376552083
Provider Name (Legal Business Name): SALINA REGIONAL HOME MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S SANTA FE AVE
SALINA KS
67401-4190
US

IV. Provider business mailing address

PO BOX 47194
WICHITA KS
67201-7194
US

V. Phone/Fax

Practice location:
  • Phone: 800-369-2717
  • Fax:
Mailing address:
  • Phone: 800-369-2717
  • 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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateKS

VIII. Authorized Official

Name: DEANA RAE HAYNES
Title or Position: SENIOR DIRECTOR
Credential:
Phone: 316-858-2124