Provider Demographics
NPI:1962108811
Name:HOME HEALTH OF KANSAS, LLC
Entity type:Organization
Organization Name:HOME HEALTH OF KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-869-0015
Mailing Address - Street 1:7607 E HARRY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-3111
Mailing Address - Country:US
Mailing Address - Phone:316-869-0015
Mailing Address - Fax:316-618-0414
Practice Address - Street 1:7607 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-3111
Practice Address - Country:US
Practice Address - Phone:316-869-0015
Practice Address - Fax:316-618-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty