MEDICARE: SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	708-5	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	35087017	OTHER	FEDERAL BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	91031017	OTHER	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114984275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE

Provider Business Mailing Address
First Line	:	903 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4508
Country	:	US
Telephone Number	:	816-756-1160
Fax Number	:	816-756-0838

Provider Business Practice Location Address
First Line	:	903 E 104TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4508
Country	:	US
Telephone Number	:	816-756-1160
Fax Number	:	816-756-0838

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LISA H HAVENHILL
Credential	:
Telephone Number	:	816-599-9226

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	12/17/2025

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Directions to “SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE ” Practice Location

Language	Start Address	Practice Location

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