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General NPI Number Information
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NPI Number | 1841006335
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Entity Type | Organization
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Legal Business Name | HOLTON HOME HEALTH LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1100 COLUMBINE DR
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City | HOLTON
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State | KS
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Zip | 66436-8841
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Country | US
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Telephone | 785-364-9617
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Fax |
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Provider Business Mailing Address
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Address Line | 11827 W 112TH ST STE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2700
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Country | US
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Telephone | 913-296-7636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BEVERLY KIMZEY
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Credential |
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Telephone | 913-406-2867
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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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