Complete Medical Homecare

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18288774 Issued in MO

Legal business name

COMPLETE MEDICAL HOMECARE

Practice address

14309 W 95TH St
Lenexa, KS 66215-5210

Phone

(800) 505-1625

Fax

(800) 624-1666

NPI assigned

May 23, 2005

Last updated

Mar 3, 2015By 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

Mrs. Lori Bultman

Title

General Manager

Phone

(816) 621-2010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1477556645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662155210",
            "telephone_number": "800-505-1625",
            "fax_number": "800-624-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662155210",
            "telephone_number": "800-505-1625",
            "fax_number": "800-624-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "BULTMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "816-621-2010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "18288774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.