Healthcare Provider Details

I. General information

NPI: 1912863614
Provider Name (Legal Business Name): ANTHONY LEE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 NW DONOVAN RD UNIT 5107
LEES SUMMIT MO
64086-4591
US

IV. Provider business mailing address

800 E 101ST TER
KANSAS CITY MO
64131-5322
US

V. Phone/Fax

Practice location:
  • Phone: 470-437-9830
  • Fax: 470-437-9830
Mailing address:
  • Phone: 844-629-2304
  • Fax: 470-437-9830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIANA MONAE ELIZABETH MARIN
Title or Position: CEO
Credential:
Phone: 470-437-9830