MEDICARE: ADD CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609059336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADD CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6022 EUCLID AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4829
Country	:	US
Telephone Number	:	816-333-2020
Fax Number	:	816-333-2022

Provider Business Practice Location Address
First Line	:	6022 EUCLID AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4829
Country	:	US
Telephone Number	:	816-333-2020
Fax Number	:	816-333-2022

Authorized Official
Title or Position	:	OWNER
Name	:	MS. VONDA KAYE LINDSAY
Credential	:
Telephone Number	:	816-729-7079

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	12/17/2007

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