Organization Active NPI

Polaris Home Health Care Kansas City LLC

Doing business as Aevitas Home Health of Kansas City

  • Home Health Agency
  • Independence, MO
National Provider Identifier
1841942778
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POLARIS HOME HEALTH CARE KANSAS CITY LLC
Doing business as
Aevitas Home Health of Kansas City
Practice address
19401 E 40 Hwy Ste 200
Independence, MO 64055-5400
Phone
(516) 727-1634
NPI assigned
Jan 21, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Samuel Goldner
Title
Authorized Person
Phone
(516) 727-1634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19401 E 40 Hwy Ste 200
Independence, MO 64055-5400

Mailing address

525 Chestnut St Ste 102
Cedarhurst, NY 11516-2223
Phone (516) 727-1634

Other names 1

  • Aevitas Home Health of Kansas City Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1841942778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CHESTNUT ST STE 102",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162223",
            "telephone_number": "516-727-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E 40 HWY STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555400",
            "telephone_number": "516-727-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS HOME HEALTH CARE KANSAS CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "516-727-1634"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aevitas Home Health of Kansas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.