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NPI Code Detail

MEDICARE: ANEW HOME HEALTH LC

MEDICARE: ANEW HOME HEALTH LC
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
1251E00000XHome Health Agency7232MO
2251E00000XHome Health AgencyA046130KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17232OTHERMOSTATE LICENSE
2A046130OTHERKSSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679570519
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANEW HOME HEALTH LC
Provider Business Mailing Address
First Line : 7933 FRONTAGE RD
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-2351
Country : US
Telephone Number : 913-649-6060
Fax Number : 913-649-6066
Provider Business Practice Location Address
First Line : 7933 FRONTAGE RD
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66204-2351
Country : US
Telephone Number : 913-649-6060
Fax Number : 913-649-6066
Authorized Official
Title or Position : OWNER-MANAGING MEMBER
Name : MR. CHARLES MICHAEL HAYDEN
Credential : RPH
Telephone Number : 913-649-6060
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/18/2007

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Directions to “ANEW HOME HEALTH LC ” Practice Location

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