Kansas City Hospice, Inc
Organization Active NPI Home Health Agency · Kansas City, MO
NPI 1740366871 · NPPES record last updated Apr 6, 2022
Key facts
- NPI
- 1740366871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 450-23HH (MO)
- Legal business name
- KANSAS CITY HOSPICE, INC
- Practice address
- 9001 State Line Rd Ste 300
Kansas City, MO 64114-3212 - Phone
- (816) 363-2600
- Fax
- (816) 523-0068
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Wiley
- Title
- President/Ceo
- Phone
- (816) 363-2600
Owners & managing parties with NPI records 5
-
Candice R Coffey, MD
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Practitioners 11
-
Jacqueline K Amweg, LCSW
-
Stacy Lynn Clarke, FNP-C
-
Stacey Dawn Davis, LCPC
-
Maria A Ferrell, APRN, BC-PCM
-
Annabelle Hendrix, D.O.
-
Lakeitha D Kelley-Lavan, FNP-C
-
Alexander L Lane, D.O.
-
Diana Lynn Myers, FNP-C
-
Roya Nadji Tehrani, M.D.
-
Titania Rae Watkins, APRN
-
Teresa Zeigler, LCSW
Medicare Care Compare: Home health agency
- Listed as
- Kansas City Palliative Home Care
- Ownership
- Non-Profit
- Certified
- Aug 27, 1987
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Home health agency certification: CCN 267264
- Legal name
- KANSAS CITY HOSPICE INC
- Doing business as
- KANSAS CITY PALLIATIVE HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 27, 1987
- Last certification
- Jan 23, 2020
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 15, 1980 in MO
- Enrollment address
- 9001 State Line Rd
Ste 300
Kansas City, MO 64114-3212
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Caryn Hohnholt |
Corporate Officer |
Apr 26, 2018 | |
| W-2 Managing Employee |
Apr 26, 2018 | ||
| Megan Costello |
Corporate Director |
Apr 25, 2019 | |
| Paul Weddle |
Corporate Officer |
Apr 1, 2017 | 100% |
| W-2 Managing Employee |
Mar 6, 2017 | 100% | |
| Melanie Coleman |
Corporate Director |
Jun 25, 2020 | |
| Patricia Beatty |
Corporate Director |
Apr 27, 2023 | |
| David S Wiley |
Corporate Officer |
Sep 6, 2016 | 100% |
| Corporate Director |
Sep 6, 2016 | 100% | |
| W-2 Managing Employee |
Sep 6, 2016 | 100% | |
| Maxine Sandman |
Corporate Director |
Apr 25, 2024 | |
| Jennifer a Kozinn |
Corporate Director |
Apr 25, 2019 | |
| Candice Coffey |
Corporate Director |
Apr 27, 2023 | |
| Edward R Mardiat |
Corporate Director |
Apr 25, 2019 | |
| Penny Avery |
W-2 Managing Employee |
Jun 25, 2018 | |
| Claudia Ricks Hubbard |
Corporate Director |
Apr 25, 2025 | |
| Timothy McLane |
Corporate Officer |
Sep 1, 2017 | 100% |
| W-2 Managing Employee |
Aug 22, 2017 | 100% | |
| Kansas City Hospice Inc |
Operational/Managerial Control | Aug 15, 1980 | |
| Sheilahn E Davis-Wyatt |
Corporate Director |
Dec 16, 2021 | |
| Shanna K Steitz |
Corporate Director |
Apr 25, 2019 | |
| Kenna K Belshe |
Corporate Director |
Apr 24, 2025 | |
| Patty Poore |
Corporate Director |
Apr 24, 2025 | |
| Jody a Abbott |
Corporate Director |
Apr 23, 2015 | |
| Pamela S Harris |
Corporate Director |
Jun 12, 2006 | |
| Heather Murphy |
W-2 Managing Employee |
Oct 1, 2020 | |
| Anne S O'Brien |
Corporate Director |
Apr 26, 2018 | |
| Michael L Schumacher |
Corporate Director |
Sep 26, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030604000024 | MO | Part a Provider - Home Health Agency | 3971413295 | Practice locations: Overland Park, KS; Kansas City, MO |
National Provider Directory
- Tax ID family
- Kansas City Hospice Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 450-23HH | MO | Yes |
| Home Health Agency | 251E00000X | A-046-002 | KS |
Addresses
Primary practice location
9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Mailing address
9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone (816) 363-2600
Other names
- Kansas City Palliative Home Care
Other providers in Kansas City, MO
- Kansas City Geriatrics
- Kansas City Girls Preparatory Academy
- Kansas City Heart Group
- Kansas City Hospice, Inc
- Kansas City Hospice, Inc
- Kansas City International Academy
- Kansas City Kidney Consultants, PA
- Kansas City Lifecoaches
- Kansas City Metropolitan Ear Nose & Throat PA
- Kansas City Metropolitan Physician Association
All providers in Kansas City, MO · Home Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.