Provider Demographics
NPI:1306973912
Name:ALWAYS THERE HOME CARE, LLC
Entity type:Organization
Organization Name:ALWAYS THERE HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-331-0070
Mailing Address - Street 1:PO BOX 493
Mailing Address - Street 2:112 N PENN AVE
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KS
Mailing Address - Zip Code:67301-0493
Mailing Address - Country:US
Mailing Address - Phone:620-331-0070
Mailing Address - Fax:620-331-2952
Practice Address - Street 1:112 N PENN AVE
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KS
Practice Address - Zip Code:67301-3524
Practice Address - Country:US
Practice Address - Phone:620-331-0070
Practice Address - Fax:620-331-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KS16-00196332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO626360200Medicaid
KS0000118142OtherBLUE CROSS BLUE SHIELD
KS200003800AMedicaid
KS200003800BMedicaid
KS200003800AMedicaid