Active NPI
Home Health of Kansas, LLC
- Community Based Hospice Care Agency
- Wichita, KS
National Provider Identifier
1497968127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- Z087013
- Legal business name
- HOME HEALTH OF KANSAS, LLC
- Practice address
- 7607 E Harry St
Wichita, KS 67207-3111 - Phone
- (316) 684-5122
- Fax
- (316) 684-5122
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony C Ndungu
- Title
- Ceo
- Phone
- (316) 869-0015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Z087013 | KS | Primary |
Addresses
Primary practice location
7607 E Harry St
Wichita, KS 67207-3111
Mailing address
7607 E Harry St
Wichita, KS 67207-3111
Phone (316) 684-5122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171568 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051031000739 | KS | Part A Provider - Hospice | 2961429709 | Practice locations: Wichita, KS |
Hospice certification: CCN 171568
- Legal name
- HOME HEALTH OF KANSAS, LLC
- Doing business as
- HOME HEALTH & HOSPICE OF KANSAS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 22, 2007
- Last certification
- Dec 20, 2024
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC
- Incorporated
- Jun 20, 2005 in KS
- Enrollment address
- 7607 E Harry St
Wichita, KS 67207-3111
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- Home Health & Hospice of Kansas
- Ownership
- For-Profit
- Certified
- Mar 22, 2007
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Home Health of Kansas LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wichita, KS
- NPI 1962108811
-
- Home Health Agency
- Wichita, KS
- NPI 1003050089
Locations
7607 E Harry St
Wichita, KS 67207
Phone (316) 869-0015
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anthony Chege Ndungu | 5% Or Greater Direct Ownership Interest | Jun 15, 2006 | 100% |
| W-2 Managing Employee | Jun 15, 2006 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1497968127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672073111",
"telephone_number": "316-684-5122",
"fax_number": "316-684-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7607 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672073111",
"telephone_number": "316-684-5122",
"fax_number": "316-684-5122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH OF KANSAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "NDUNGU",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "316-869-0015"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "KS",
"license": "Z087013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171568",
"state": "KS"
}
],
"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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.