Healthcare Provider Details

I. General information

NPI: 1003733544
Provider Name (Legal Business Name): JEAN AND DAVE HOME HEALTH L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 E 118TH TER
KANSAS CITY MO
64134-3939
US

IV. Provider business mailing address

7404 E 118TH TER
KANSAS CITY MO
64134-3939
US

V. Phone/Fax

Practice location:
  • Phone: 816-328-2353
  • Fax:
Mailing address:
  • Phone: 816-328-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DONESHA HANSON
Title or Position: OWNER
Credential:
Phone: 816-328-2353