Organization Active NPI

United Home Care LLC.

  • In Home Supportive Care Agency
  • Overland Park, KS
National Provider Identifier
1083159974
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8519324 Issued in KS
Legal business name
UNITED HOME CARE LLC.
Practice address
6810 Antioch Rd
Apt 257
Overland Park, KS 66204-1202
Phone
(913) 749-7103
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Brian M. Johnson
Title
Owner
Phone
(913) 749-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8519324 KS Primary

Addresses

Primary practice location

6810 Antioch Rd
Apt 257
Overland Park, KS 66204-1202

Mailing address

6810 Antioch Rd
Apt 257
Overland Park, KS 66204-1202
Phone (913) 749-7103

Other identifiers 1

IdentifierTypeStateIssuer
8518324MedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1083159974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 ANTIOCH RD",
            "address_2": "APT 257",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041202",
            "telephone_number": "913-749-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 ANTIOCH RD",
            "address_2": "APT 257",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041202",
            "telephone_number": "913-749-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-749-7103"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KS",
            "license": "8519324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8518324",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.