Healthcare Provider Details

I. General information

NPI: 1376121046
Provider Name (Legal Business Name): HEART OF AMERICA HOSPICE KANSAS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 NE RIVER RD
TOPEKA KS
66616-1142
US

IV. Provider business mailing address

14295 MIDWAY RD STE 400
ADDISON TX
75001-3678
US

V. Phone/Fax

Practice location:
  • Phone: 785-228-0400
  • Fax: 785-228-9049
Mailing address:
  • Phone: 903-537-8656
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBRA MILLER
Title or Position: VP OF REGULATORY
Credential:
Phone: 903-537-7612