Jennifer Roets, OPERATOR

Individual provider Active NPI Home Health Agency · South Hutchinson, KS

NPI 1619656345 · NPPES record last updated Jul 11, 2023

Key facts

NPI
1619656345
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
License
1422 (KS)
Practice address
61 Des Moines Ave
South Hutchinson, KS 67505-2143
Phone
(316) 293-8541
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1422KSMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1422 KS Yes

Addresses

Primary practice location

61 Des Moines Ave
South Hutchinson, KS 67505-2143

Mailing address

61 Des Moines Ave
South Hutchinson, KS 67505-2143
Phone (316) 293-8541

Other providers in South Hutchinson, KS

All providers in South Hutchinson, KS · Home Health Agency in Kansas

Sources for this page

Verify at the official NPI Registry.