Provider Demographics
NPI:1386802239
Name:HOSPICE CARE OF KANSAS, LLC
Entity type:Organization
Organization Name:HOSPICE CARE OF KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:G
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-551-0945
Mailing Address - Street 1:125 W 2ND AVE
Mailing Address - Street 2:STE C
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-5300
Mailing Address - Country:US
Mailing Address - Phone:620-664-5757
Mailing Address - Fax:817-731-3529
Practice Address - Street 1:6500 WEST FWY
Practice Address - Street 2:STE 900
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-2167
Practice Address - Country:US
Practice Address - Phone:817-551-0945
Practice Address - Fax:817-731-3529
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE CARE OF KANSAS. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS07999095251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based