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General NPI Number Information
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NPI Number | 1720593973
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Entity Type | Organization
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Legal Business Name | KANSAS COMMUNITY HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 1854 MINNESOTA AVE STE 4
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City | KANSAS CITY
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State | KS
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Zip | 66102-4166
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Country | US
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Telephone | 913-499-8374
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Fax | 913-499-8702
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Provider Business Mailing Address
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Address Line | 1854 MINNESOTA AVE STE 4
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City | KANSAS CITY
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State | KS
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Zip | 66102-4166
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BOARD OF DIRECTOR
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Name | HEM GHATANEY
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Credential |
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Telephone | 520-247-7456
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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 |
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License Number State |
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