Healthcare Provider Details

I. General information

NPI: 1023722303
Provider Name (Legal Business Name): BELOVED HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E RED BRIDGE RD STE 203
KANSAS CITY MO
64131-4030
US

IV. Provider business mailing address

8426 CLINT DR # 277
BELTON MO
64012-5329
US

V. Phone/Fax

Practice location:
  • Phone: 816-640-4804
  • Fax:
Mailing address:
  • Phone: 816-640-4804
  • Fax: 816-817-1877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARITA RUSH
Title or Position: OWNER
Credential:
Phone: 816-640-4804