Organization Active NPI

Holistic Hom Health of KS, Inc.

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1306028741
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A087115 Issued in KS
Legal business name
HOLISTIC HOM HEALTH OF KS, INC.
Practice address
2621 N Edgemoor Dr
Wichita, KS 67220-3144
Phone
(316) 295-4692
Fax
(316) 295-4692
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Nemmy Ngugi Matiru
Title
Managing Partner
Phone
(316) 295-4692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A087115 KS Primary

Addresses

Primary practice location

2621 N Edgemoor Dr
Wichita, KS 67220-3144

Mailing address

2621 N Edgemoor Dr
Wichita, KS 67220-3144
Phone (316) 295-4692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1306028741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N EDGEMOOR DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203144",
            "telephone_number": "316-295-4692",
            "fax_number": "316-295-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 N EDGEMOOR DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203144",
            "telephone_number": "316-295-4692",
            "fax_number": "316-295-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HOM HEALTH OF KS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MATIRU",
        "authorized_official_first_name": "NEMMY",
        "authorized_official_middle_name": "NGUGI",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "316-295-4692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A087115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.