1144239666 NPI number — HEART OF AMERICA HOSPICE KANSAS, L.L.C.

Table of content: (NPI 1144239666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144239666 NPI number — HEART OF AMERICA HOSPICE KANSAS, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEART OF AMERICA HOSPICE KANSAS, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ELARA CARING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144239666
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3010 LYNDON B JOHNSON FWY STE 1100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75234-2712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-379-1600
Provider Business Mailing Address Fax Number:
903-537-8420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 NE RIVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66616-1142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-228-0400
Provider Business Practice Location Address Fax Number:
866-948-8463
Provider Enumeration Date:
08/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MONASTIERE
Authorized Official First Name:
KATIE
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE AND PRIVACY OFFICER
Authorized Official Telephone Number:
800-379-1600

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1361 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100288180A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".