Healthcare Provider Details

I. General information

NPI: 1114984275
Provider Name (Legal Business Name): SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 E 104TH ST
KANSAS CITY MO
64131-4508
US

IV. Provider business mailing address

903 E 104TH ST
KANSAS CITY MO
64131-4508
US

V. Phone/Fax

Practice location:
  • Phone: 816-756-1160
  • Fax: 816-756-0838
Mailing address:
  • Phone: 816-756-1160
  • Fax: 816-756-0838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number708-5
License Number StateMO

VIII. Authorized Official

Name: LISA H HAVENHILL
Title or Position: VICE PRESIDENT
Credential:
Phone: 816-599-9226