NPIMap

Organization Active NPI

Saint Lukes Health System Home Care and Hospice

Doing business as Saint Luke's Advanced Care Pharmacy

  • Home Infusion Therapy Pharmacy
  • Kansas City, MO
National Provider Identifier
1124051719
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
22-44622 Issued in KS
Legal business name
SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE
Doing business as
Saint Luke's Advanced Care Pharmacy
Practice address
10920 Elm Ave
Kansas City, MO 64134-4108
Phone
(816) 532-7750
Fax
(816) 532-7754
NPI assigned
Jul 8, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HEALTH SYSTEM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Lisa Havenhill
Title
Cfo
Phone
(816) 599-9226

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 006372 MO
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X 22-44622 KS Primary

Addresses

Primary practice location

10920 Elm Ave
Kansas City, MO 64134-4108

Mailing address

10920 Elm Ave
Kansas City, MO 64134-4108
Phone (816) 532-7750

Other identifiers 2

IdentifierTypeStateIssuer
2147836OtherPK
603809401MedicaidMO

Other names 1

  • Saint Luke's Advanced Care Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930028392 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company 5991613655 Practice locations: Kansas City, MO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Saint Lukes Health System Home Care and Hospice5 organizations share this tax ID, including this one
Part of
Saint Luke's Health System Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of LeavenworthLeavenworth, KS, CCN 171509 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1124051719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 ELM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641344108",
            "telephone_number": "816-532-7750",
            "fax_number": "816-532-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 ELM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641344108",
            "telephone_number": "816-532-7750",
            "fax_number": "816-532-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HEALTH SYSTEM HOME CARE AND HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HEALTH SYSTEM INC.",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HAVENHILL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-599-9226"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "006372",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "KS",
            "license": "22-44622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603809401",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10920 Elm Ave",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641344108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Saint Luke's Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Luke's Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.