MEDICARE: ADULT SERVICES INC.

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	A105029	KS

General Provider Information

NPI Number	:	1467417881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULT SERVICES INC.

Provider Business Mailing Address
First Line	:	1999 N 77TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2232
Country	:	US
Telephone Number	:	913-788-9896
Fax Number	:	913-788-7080

Provider Business Practice Location Address
First Line	:	1999 N 77TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66112-2232
Country	:	US
Telephone Number	:	913-788-9896
Fax Number	:	913-788-7080

Authorized Official
Title or Position	:	ADMINISTRATOR OWNER
Name	:	MR. RANDALL PATRICK MARQUARDT
Credential	:	BACHELORS
Telephone Number	:	913-788-9896

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

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