MEDICARE: STRAWBERRY HILL COMMUNITY SUPPORTS 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1972252930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRAWBERRY HILL COMMUNITY SUPPORTS LLC

Provider Business Mailing Address
First Line	:	423 N THOMPSON ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2935
Country	:	US
Telephone Number	:	913-499-9719
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 N THOMPSON ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2935
Country	:	US
Telephone Number	:	913-499-9719
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	AMANDA LEE SACHEN
Credential	:
Telephone Number	:	913-499-9719

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	03/18/2022

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