Healthcare Provider Details

I. General information

NPI: 1023860962
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: 04/03/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10920 ELM AVE
KANSAS CITY MO
64134-4108
US

IV. Provider business mailing address

10920 ELM AVE
KANSAS CITY MO
64134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 816-532-7750
  • Fax: 816-532-7754
Mailing address:
  • Phone: 816-532-7750
  • Fax: 816-532-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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