- Enrollment id
- O20051031000739
- Enrollment state
- KS
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1497968127
- Multiple npi flag
- N
- Ccn
- 171568
- Associate id
- 2961429709
- Organization name
- HOME HEALTH OF KANSAS, LLC
- Doing business as name
- HOME HEALTH & HOSPICE OF KANSAS
- Incorporation date
- 2005-06-20
- Incorporation state
- KS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 7607 E HARRY ST
- City
- WICHITA
- State
- KS
- Zip code
- 672073111