Provider Demographics
NPI:1073368288
Name:KI' TO THE ESSENCE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:KI' TO THE ESSENCE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-214-6551
Mailing Address - Street 1:5104 WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-2963
Mailing Address - Country:US
Mailing Address - Phone:816-214-6551
Mailing Address - Fax:
Practice Address - Street 1:5104 WABASH AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-2963
Practice Address - Country:US
Practice Address - Phone:816-214-6551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health