Organization Active NPI

Catholic Community Service in-Home Support of Northeast Kansas

  • Personal Care Attendant
  • Lenexa, KS
National Provider Identifier
1013098367
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
A-105-013 Issued in KS
Legal business name
CATHOLIC COMMUNITY SERVICE IN-HOME SUPPORT OF NORTHEAST KANSAS
Practice address
16201 W 95TH St Ste 220
Lenexa, KS 66219-1217
Phone
(913) 433-2000
Fax
(913) 371-3080
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Mrs. Nicole Anthony
Title
Cfo
Phone
(913) 621-5090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X A-105-013 KS Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X A-105-013 KS

Addresses

Primary practice location

16201 W 95TH St Ste 220
Lenexa, KS 66219-1217

Mailing address

16201 W 95TH St Ste 220
Lenexa, KS 66219-1217
Phone (913) 433-2000

Other identifiers 1

IdentifierTypeStateIssuer
100008100EMedicaidKS

Other names 3

  • Catholic Community Homecare Doing business as
  • Catholic Community In-Home Support Doing business as
  • Catholic Community Services In-Home Support Doing business as

National Provider Directory

National Provider Directory

Locations

9740 W 87th St
Overland Park, KS 66212
Phone (913) 621-5090

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1013098367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 W 95TH ST STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191217",
            "telephone_number": "913-433-2000",
            "fax_number": "913-371-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 W 95TH ST STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191217",
            "telephone_number": "913-433-2000",
            "fax_number": "913-371-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICE IN-HOME SUPPORT OF NORTHEAST KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-621-5090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "KS",
            "license": "A-105-013",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "KS",
            "license": "A-105-013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008100E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Community Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Community In-Home Support",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Community In-Home Support",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Community Services In-Home Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.