MEDICARE: POOH'S ALL IN ONE NURSING CARE-LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	253Z00000X	In Home Supportive Care Agency
4	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851856660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POOH'S ALL IN ONE NURSING CARE-LLC

Provider Business Mailing Address
First Line	:	PO BOX 24761
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-0761
Country	:	US
Telephone Number	:	816-507-1222
Fax Number	:	816-599-4027

Provider Business Practice Location Address
First Line	:	10514 WALNUT DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4725
Country	:	US
Telephone Number	:	816-507-1222
Fax Number	:	816-599-4027

Authorized Official
Title or Position	:	OWNER
Name	:	MISS MARIAN DUNBAR
Credential	:	CMT-CNA-
Telephone Number	:	816-507-1222

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	08/05/2020

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