Healthcare Provider Details

I. General information

NPI: 1669183075
Provider Name (Legal Business Name): GOOD MORNING HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 VINE ST
KANSAS CITY MO
64109-1339
US

IV. Provider business mailing address

4140 FLORA AVE
KANSAS CITY MO
64110-1332
US

V. Phone/Fax

Practice location:
  • Phone: 816-405-0386
  • Fax:
Mailing address:
  • Phone: 816-977-5341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMIKA CLARK
Title or Position: DIRECTOR
Credential: NP
Phone: 816-977-5341