MEDICARE: SALVATION 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740039338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALVATION HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1201 NW BRIARCLIFF PKWY STE 204
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1905
Country	:	US
Telephone Number	:	816-853-2382
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 NW BRIARCLIFF PKWY STE 204
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1905
Country	:	US
Telephone Number	:	816-853-2382
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELLEY ANYU
Credential	:
Telephone Number	:	816-853-2392

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/07/2025

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