Provider Demographics
NPI:1063796811
Name:BARE ESSENTIALS HOME CARE, INC.
Entity type:Organization
Organization Name:BARE ESSENTIALS HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-333-4500
Mailing Address - Street 1:7911 PASEO BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1862
Mailing Address - Country:US
Mailing Address - Phone:816-333-7600
Mailing Address - Fax:
Practice Address - Street 1:7911 PASEO BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1862
Practice Address - Country:US
Practice Address - Phone:816-333-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care