MEDICARE: IN-HOME NURSING CARE SERVICES, LLC

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	10054704	MO

General Provider Information

NPI Number	:	1144358847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOME NURSING CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6301 ROCKHILL ROAD
Second Line	:	SUITE 415
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1117
Country	:	US
Telephone Number	:	816-569-0773
Fax Number	:	816-841-9654

Provider Business Practice Location Address
First Line	:	6301 ROCKHILL ROAD
Second Line	:	SUITE 415
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1117
Country	:	US
Telephone Number	:	816-569-0773
Fax Number	:	816-841-9654

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. NONYE J OKOLI
Credential	:	RN
Telephone Number	:	816-569-0773

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/22/2020

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