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

Organization subpart

No

Name

Mrs. Lori Bultman

Title

General Manager

Phone

(816) 621-2010

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2015.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "470505",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625925102",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445500A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "31805011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Concentra Medical Center - KC Lenexa

• All providers in Lenexa, KS
• 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.