Organization Active NPI

Dmmkp Corporation

Doing business as Synergy HomeCare

  • In Home Supportive Care Agency
  • Overland Park, KS
National Provider Identifier
1700545688
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DMMKP CORPORATION
Doing business as
Synergy HomeCare
Practice address
9240 Glenwood St Ste B
Overland Park, KS 66212-1370
Phone
(913) 685-9700
Fax
(913) 543-3920
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mr. Douglas Alan Peterson
Title
Owner/Administrator
Phone
(913) 957-9486

Specialties & licenses 1

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

Addresses

Primary practice location

9240 Glenwood St Ste B
Overland Park, KS 66212-1370

Mailing address

9240 Glenwood St Ste B
Overland Park, KS 66212-1370
Phone (913) 685-9700

Other names 1

  • Synergy HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

9240 Glenwood St
Ste B
Overland Park, KS 66212
Phone (913) 685-9700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1700545688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 GLENWOOD ST STE B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121370",
            "telephone_number": "913-685-9700",
            "fax_number": "913-543-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 GLENWOOD ST STE B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121370",
            "telephone_number": "913-685-9700",
            "fax_number": "913-543-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMMKP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "913-957-9486",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.