MEDICARE: A HEAVENT SENT IN HOME CARE AGENCY 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

General Provider Information

NPI Number	:	1568793370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HEAVENT SENT IN HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	7447 HOLMES RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1691
Country	:	US
Telephone Number	:	816-569-6360
Fax Number	:

Provider Business Practice Location Address
First Line	:	7447 HOLMES RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1691
Country	:	US
Telephone Number	:	816-569-6360
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. AHMET GOZUSULU
Credential	:
Telephone Number	:	816-569-6360

Provider Enumeration Date	:	01/18/2010
Last Update Date	:	01/18/2010

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