Organization Active NPI

My Sacred Home, LLC

  • Home Health Agency
  • Wichita, KS
National Provider Identifier
1477707065
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY SACRED HOME, LLC
Practice address
7829 E Rockhill St Ste 406
Wichita, KS 67206-3920
Phone
(316) 440-4820
Fax
(316) 440-4851
NPI assigned
Nov 9, 2008
Last updated
Jun 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Jannifer Sue Helms-Terry, RN
Title
President
Phone
(316) 708-3236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Assisted Living Facility 310400000X 4135166 KS

Addresses

Primary practice location

7829 E Rockhill St Ste 406
Wichita, KS 67206-3920

Mailing address

7829 E Rockhill St Ste 406
Wichita, KS 67206-3920
Phone (316) 440-4820

National Provider Directory

National Provider Directory
Tax ID family
My Sacred Home Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1477707065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063920",
            "telephone_number": "316-440-4820",
            "fax_number": "316-440-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 E ROCKHILL ST STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063920",
            "telephone_number": "316-440-4820",
            "fax_number": "316-440-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SACRED HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HELMS-TERRY",
        "authorized_official_first_name": "JANNIFER",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-708-3236",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "4135166",
            "primary": false
        }
    ],
    "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 Jun 10, 2009; 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.