=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922467307
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE TOUCH HOMES PLUS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2016
-----------------------------------------------------
Last Update Date | 02/15/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11206 W. 72ND TERR.
-----------------------------------------------------
City | SHAWNEE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66203-4352
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-815-6090
-----------------------------------------------------
Fax | 913-815-6090
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11206 W 72ND TER
-----------------------------------------------------
City | SHAWNEE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66203-4352
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-815-6090
-----------------------------------------------------
Fax | 913-815-6090
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATOR
-----------------------------------------------------
Name | LEONARD NDEI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-815-6090
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------