Basic Information
| Provider Information | |||||||||
| NPI: | 1447408372 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPICE CARE OF KANSAS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1703 W 5TH ST | ||||||||
| Address2: | SUITE 800 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787034893 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5126344900 | ||||||||
| FaxNumber: | 5126344966 | ||||||||
| Practice Location | |||||||||
| Address1: | 1302 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | OTTAWA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660673527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852422755 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2008 | ||||||||
| LastUpdateDate: | 06/28/2011 | ||||||||
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| AuthorizedOfficialLastName: | LITTLE | ||||||||
| AuthorizedOfficialFirstName: | LEW | ||||||||
| AuthorizedOfficialMiddleName: | N | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5126344900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | 07999095 | KS | Y | Agencies | Hospice Care, Community Based |
No ID Information.