Organization Active NPI

Tav Home Health LLC

  • Home Health Agency
  • Overland Park, KS
National Provider Identifier
1508428210
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TAV HOME HEALTH LLC
Practice address
9393 W 110TH St Ste 500
Overland Park, KS 66210-1464
Phone
(913) 323-6820
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Hellen Tanui
Title
Owner
Phone
(913) 323-6820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

9393 W 110TH St Ste 500
Overland Park, KS 66210-1464

Mailing address

9393 W 110TH St Ste 500
Overland Park, KS 66210-1464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520001627 KS Part A Provider - Home Health Agency 5991136210 Practice locations: Overland Park, KS

Home health agency certification: CCN 178136

Legal name
TAV HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 2023
Last certification
Jun 6, 2023
Organization structure
LLCProprietary
Incorporated
Jan 22, 2019 in KS
Enrollment address
9393 W 110TH St
Ste 500
Overland Park, KS 66210-1464

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tav Home Health LLCCCN 178136
Ownership
-
Certified
Jun 6, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2188495Tav Home Health LLC9393 W 110TH St, Overland Park, KS 66210Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rose Sangutei Individual 5% Or Greater Direct Ownership InterestOwner,Secretary,Board Member Jan 22, 2019 34%
Corporate OfficerOwner,Secretary,Board Member Jan 22, 2019
Corporate DirectorOwner,Secretary,Board Member Jan 22, 2019
W-2 Managing EmployeeOwner,Secretary,Boardmember Jan 22, 2019
Hellen Tanui Individual 5% Or Greater Direct Ownership Interest Jan 22, 2019 33%
Corporate OfficerOwner, President, Board Member Jan 22, 2019
Corporate DirectorOwner, Prison, Board Member Jan 22, 2019
W-2 Managing EmployeeOwner President, Board Member Jan 22, 2019
Jane Langat Individual 5% Or Greater Direct Ownership Interest Jan 22, 2019 33%
Corporate OfficerOwner, VP, Treasurer, Board Memb Jan 22, 2019
Corporate DirectorOwner, VP, Treasurer, Board Memb Jan 22, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1508428210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 W 110TH ST STE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101464",
            "telephone_number": "913-323-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAV HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "TANUI",
        "authorized_official_first_name": "HELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-323-6820"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.