Individual provider Active NPI

Chanelle McKinley, BHS, MPA

  • In Home Supportive Care Agency
  • Kansas City, KS
National Provider Identifier
1003516543
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
T014174 Issued in KS
Practice address
8160 Parallel Pkwy Ste 203
Kansas City, KS 66112-2068
Phone
(816) 288-5367
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X T014174 KS Primary

Addresses

Primary practice location

8160 Parallel Pkwy Ste 203
Kansas City, KS 66112-2068

Mailing address

8160 Parallel Pkwy Ste 203
Kansas City, KS 66112-2068
Phone (816) 288-5367

Other identifiers 1

IdentifierTypeStateIssuer
30004866170001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T014174KSMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Diverse Care LLC In Home Supportive Care CurrentSince Jul 31, 2023 Accepting new patients

Locations

8160 Parallel Pkwy
Ste 203
Kansas City, KS 66112
Phone (816) 288-5367

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1003516543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 PARALLEL PKWY STE 203",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122068",
            "telephone_number": "816-288-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 PARALLEL PKWY STE 203",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122068",
            "telephone_number": "816-288-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "CHANELLE",
        "credential": "BHS, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KS",
            "license": "T014174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004866170001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.