MEDICARE: TRUSTED HANDS HOME HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1205292240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED HANDS HOME HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	5120 PROSPECT AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2958
Country	:	US
Telephone Number	:	816-446-2752
Fax Number	:

Provider Business Practice Location Address
First Line	:	5120 PROSPECT AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-2958
Country	:	US
Telephone Number	:	816-446-2752
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/MANAGER
Name	:	JUVONDA WHITNEY
Credential	:
Telephone Number	:	816-446-2752

Provider Enumeration Date	:	01/06/2016
Last Update Date	:	01/06/2016

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