Healthcare Provider Details

I. General information

NPI: 1780301978
Provider Name (Legal Business Name): NOVUS LIFECARE PALLIATIVE OF KANSAS CITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 NW MOCK AVE STE B
BLUE SPRINGS MO
64015-3122
US

IV. Provider business mailing address

1700 NW MOCK AVE STE B
BLUE SPRINGS MO
64015-3122
US

V. Phone/Fax

Practice location:
  • Phone: 816-604-0135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANIL SINGH
Title or Position: CEO
Credential:
Phone: 816-604-0135