MEDICARE: LTC BILLING 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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1356327845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LTC BILLING SERVICES, LLC

Provider Business Mailing Address
First Line	:	7611 STATE LINE RD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-6801
Country	:	US
Telephone Number	:	816-278-3204
Fax Number	:	816-276-0167

Provider Business Practice Location Address
First Line	:	7611 STATE LINE RD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-6801
Country	:	US
Telephone Number	:	816-278-3204
Fax Number	:	816-276-0167

Authorized Official
Title or Position	:	MEMBER OF MEMBER/OWNER
Name	:	JOSEPH TUTERA
Credential	:
Telephone Number	:	816-444-0900

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	08/22/2020

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