PROVIDENCE HOME HEALTH & HOSPICE LLC.


Address: 9415 E Harry St Ste 703, Wichita, KS 67207
Phone: 3165585956

PROVIDENCE HOME HEALTH & HOSPICE LLC. (NPI# 1467877571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467877571
Entity Type Organization
Organization Name PROVIDENCE HOME HEALTH & HOSPICE LLC.
Practice Address 9415 E Harry St Ste 703
Wichita
KS 67207
Mailing Address 9415 E Harry St
Suite 308
Wichita
KS 67207-5089
Practice Telephone 3165585956
Practice Fax Number 3165585948
Mailing Telephone 3165585956
Mailing Fax Number 3165585948
Enumeration Date 2014-02-26
Last Update Date 2018-06-13
Authorized Official Name CECILIA J WAMBUGU-DAVIS (CEO)
Authorized Official Telephone 3165585956
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962827170 Providence Home Health & Hospice LLC. Home Health 9415 E Harry St Ste 703, Wichita, KS 67207 2014-02-25

Office Location

Street Address 9415 E HARRY ST STE 703
City WICHITA
State KS
Zip Code 67207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962827170 Providence Home Health & Hospice LLC. Home Health 9415 E Harry St Ste 703, Wichita, KS 67207 2014-02-25

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1962819110 Lauren Carrillo Marriage & Family Therapist 111 S Whittier St Ste 1500, Wichita, KS 67207 2014-07-21
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1962977017 Ourkansas Guardian LLC Hospice Care, Community Based 11715 E Crestwood St, Wichita, KS 67206-5503 2018-10-04
1912354697 Physician's Choice of Kansas, Inc Hospice Care, Community Based 6611 E Central Ave Ste E, Wichita, KS 67206-1937 2016-05-23
1093104911 Presbyterian Manors, Inc. Hospice Care, Community Based 2414 N Woodlawn Blvd, Wichita, KS 67220-3958 2015-01-15
1013261320 Day By Day Staff Relief, LLC Hospice Care, Community Based 8201 E 34th Street Cir N Ste 1505, Wichita, KS 67226-1395 2012-11-08
1841543204 Reflections Residential Care, LLC Hospice Care, Community Based 1201 N Pinecrest St, Wichita, KS 67208-2735 2012-10-23
1063709087 Clear Path Hospice of Wichita, LLC Hospice Care, Community Based 818 North Emporia, Suite 307, Wichita, KS 67214 2011-06-29
1649563396 Blue Star Health Care LLC Hospice Care, Community Based 515 N Ridge Rd, Ste 100, Wichita, KS 67212-6389 2011-05-26
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City WICHITA
Zip Code 67207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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