NPIMap

Organization Active NPI

Four County Mental Health Center

Doing business as Active Partners In Home Services

  • Home Health Agency
  • Independence, KS
National Provider Identifier
1699099077
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A103009 Issued in KS
Legal business name
FOUR COUNTY MENTAL HEALTH CENTER
Doing business as
Active Partners In Home Services
Practice address
415 Fruitland
Independence, KS 67301
Phone
(620) 332-8584
NPI assigned
Mar 15, 2010
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Mr. Greg Hennen
Title
Executive Director
Phone
(620) 331-1748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A103009 KS Primary

Addresses

Primary practice location

415 Fruitland
Independence, KS 67301

Mailing address

PO Box 688
Independence, KS 67301-0688

Other identifiers 1

IdentifierTypeStateIssuer
100097980UMedicaidKS

Other names 1

  • Active Partners In Home Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Four County Mental Heal9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1699099077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FRUITLAND",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "67301",
            "telephone_number": "620-332-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "HENNEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "620-331-1748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A103009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097980U",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Partners In Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.