Organization Active NPI

Life Care Home Health Services LLC

  • Home Health Agency
  • Prairie Village, KS
National Provider Identifier
1194931105
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-046-088 Issued in KS
Legal business name
LIFE CARE HOME HEALTH SERVICES LLC
Practice address
8101 Mission Rd
Prairie Village, KS 66208-5238
Phone
(913) 385-4110
Fax
(913) 385-4138
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Rick W Griffin
Title
President
Phone
(706) 303-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-046-088 KS Primary

Addresses

Primary practice location

8101 Mission Rd
Prairie Village, KS 66208-5238

Mailing address

PO Box 200
Augusta, GA 30903-0200
Phone (706) 303-5500

Other identifiers 2

IdentifierTypeStateIssuer
A-046-088OtherKSHHA LICENSE
17D0895806OtherKSCLIA WAIVER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1194931105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030200",
            "telephone_number": "706-303-5500",
            "fax_number": "706-854-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MISSION RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085238",
            "telephone_number": "913-385-4110",
            "fax_number": "913-385-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-303-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-046-088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA LICENSE",
            "identifier": "A-046-088",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER NUMBER",
            "identifier": "17D0895806",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.