Active NPI
In Home Health LLC
Doing business as ProMedica Hospice (Kansas City)
- Home Health Agency
- Independence, MO
National Provider Identifier
1538113824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 713-6
- Legal business name
- IN HOME HEALTH LLC
- Doing business as
- ProMedica Hospice (Kansas City)
- Practice address
- 4731 S Cochise Dr Ste 120
Independence, MO 64055-6975 - Phone
- (816) 943-1798
- Fax
- (816) 941-3881
- NPI assigned
- May 20, 2006
- Organization subpart
- Yes
- Parent organization
- IN HOME HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin David Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 713-6 | MO | Primary |
Addresses
Primary practice location
4731 S Cochise Dr Ste 120
Independence, MO 64055-6975
Mailing address
333 N Summit St
Attn Dean Shipman
Toledo, OH 43604-1531
Phone (419) 254-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 828561100 | Medicaid | MO |
Other names 1
- ProMedica Hospice (Kansas City)
National Provider Directory
National Provider Directory- Part of
- In Home Health Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ProMedica Skilled Nursing and Rehabilitation (Lely Palms)
- Skilled Nursing Facility
- Naples, FL
- NPI 1366499535
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1538113824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN DEAN SHIPMAN",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-254-7841",
"fax_number": "419-252-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 S COCHISE DR STE 120",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556975",
"telephone_number": "816-943-1798",
"fax_number": "816-941-3881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IN HOME HEALTH LLC",
"enumeration_date": "2006-05-20",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "713-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "828561100",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Kansas City)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Independence, MO
- Stacy Renee Hyden
- Ashton Ibarra, RD, LD
- Muhammad Ibrahim, MD
- Bryce Daniel Idoni, DPT
- Hafiz Numan Ijaz, MBBS
- In Home Health, LLC (ProMedica Hospice (Kansas City))
- In Home Health, LLC (ProMedica Hospice (Kansas City))
- Inclusions LLC
- Independence 1 Inc (Maywood Terrace Living Center)
- Independence Anesthesia Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.