Healthcare Provider Details

I. General information

NPI: 1922467307
Provider Name (Legal Business Name): CARE TOUCH HOMES PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 02/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11206 W. 72ND TERR.
SHAWNEE KS
66203-4352
US

IV. Provider business mailing address

11206 W 72ND TER
SHAWNEE KS
66203-4352
US

V. Phone/Fax

Practice location:
  • Phone: 913-815-6090
  • Fax: 913-815-6090
Mailing address:
  • Phone: 913-815-6090
  • Fax: 913-815-6090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateKS

VIII. Authorized Official

Name: LEONARD NDEI
Title or Position: OPERATOR
Credential:
Phone: 913-815-6090