Provider Demographics
NPI:1386043644
Name:KANSAS HOSPICE CARE LLC
Entity type:Organization
Organization Name:KANSAS HOSPICE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:GRUHALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-220-4073
Mailing Address - Street 1:7171 W 95TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2276
Mailing Address - Country:US
Mailing Address - Phone:913-353-6525
Mailing Address - Fax:888-510-6002
Practice Address - Street 1:7171 W 95TH ST STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2276
Practice Address - Country:US
Practice Address - Phone:913-353-6525
Practice Address - Fax:888-510-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0418HO251G00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201112250AMedicaid
KS100017660BMedicaid