Healthcare Provider Details

I. General information

NPI: 1073245593
Provider Name (Legal Business Name): CARING PROFESSIONALS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 SW GREENWICH DR # 370
LEES SUMMIT MO
64082-4408
US

IV. Provider business mailing address

312 SW GREENWICH DR # 370
LEES SUMMIT MO
64082-4408
US

V. Phone/Fax

Practice location:
  • Phone: 816-682-5345
  • Fax:
Mailing address:
  • Phone: 816-682-5345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROKEA WRIGHT
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 816-682-5345