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NPI Code Detail

MEDICARE: ABRAHAM HENRY MADENGE

MEDICARE:   ABRAHAM HENRY MADENGE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1467318865
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM HENRY MADENGE
Provider Business Mailing Address
First Line : 11463 OAK ST APT 1
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-6040
Country : US
Telephone Number : 513-356-5305
Fax Number :
Provider Business Practice Location Address
First Line : 11463 OAK ST APT 1
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-6040
Country : US
Telephone Number : 513-356-5307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ ABRAHAM HENRY MADENGE ” Practice Location

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