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General NPI Number Information
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NPI Number | 1417020025
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Entity Type | Organization
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Legal Business Name | KC'S HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6145 TROOST AVE STE 200
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City | KANSAS CITY
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State | MO
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Zip | 64110-3435
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Country | US
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Telephone | 816-923-2550
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Fax | 816-923-7134
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Provider Business Mailing Address
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Address Line | 6145 TROOST AVE STE 200
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City | KANSAS CITY
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State | MO
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Zip | 64110-3435
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Country | US
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Telephone | 816-923-2550
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Fax | 816-923-7134
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES L JOHNSON
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Credential |
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Telephone | 816-923-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | A105046
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7294
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License Number State | MO
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