Outreach Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OUTREACH HOME HEALTHCARE

Practice address

107 W 1St St
Coffeyville, KS 67337-5515

Phone

(201) 754-2675

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Mila A Jones, OPERATOR

Title

Director

Phone

(201) 754-2675

Specialties & licenses 1

Addresses

Other names 1

• Outreach Home Healthcare & DMES Former legal business name

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1407597941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673370168",
            "telephone_number": "201-754-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 1ST ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375515",
            "telephone_number": "201-754-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MILA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-754-2675",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPERATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Home Healthcare & DMES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.