Kendallwood Hospice Company

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0418HO Issued in MO

Legal business name

KENDALLWOOD HOSPICE COMPANY

Practice address

2908 NW Vivion Rd
Riverside, MO 64150-1502

Phone

(816) 587-1000

Fax

(816) 587-3000

NPI assigned

Oct 13, 2005

Last updated

May 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Y. Reichert

Title

Administrator

Phone

(816) 587-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1356339279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 NW VIVION RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641501502",
            "telephone_number": "816-587-1000",
            "fax_number": "816-587-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 NW VIVION RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641501502",
            "telephone_number": "816-587-1000",
            "fax_number": "816-587-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALLWOOD HOSPICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-587-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "0418HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100226560A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822927505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Riverside, MO
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• Community Based Hospice Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.