MEDICARE: CMS ENTERPRISES, 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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1710753454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMS ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	315 HOUSTON ST STE B
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-6172
Country	:	US
Telephone Number	:	785-473-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 HOUSTON ST STE B
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-6172
Country	:	US
Telephone Number	:	785-473-7007
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHUCK STRANG
Credential	:
Telephone Number	:	785-473-7007

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	12/04/2023

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