Organization Active NPI

Whole Life Home Care, LLC

  • In Home Supportive Care Agency
  • Andover, KS
National Provider Identifier
1851931968
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WHOLE LIFE HOME CARE, LLC
Practice address
1400 Terradyne Dr Ste 211
Andover, KS 67002-7942
Phone
(316) 448-6287
Fax
(316) 330-9141
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Jordan Jade Ford
Title
President
Phone
(316) 448-6287

Specialties & licenses 1

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

Addresses

Primary practice location

1400 Terradyne Dr Ste 211
Andover, KS 67002-7942

Mailing address

1400 Terradyne Dr Ste 211
Andover, KS 67002-7942
Phone (316) 448-6287

National Provider Directory

National Provider Directory

Locations

1400 Terradyne Dr
Ste 211
Andover, KS 67002
Phone (316) 448-6287

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1851931968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TERRADYNE DR STE 211",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027942",
            "telephone_number": "316-448-6287",
            "fax_number": "316-330-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 TERRADYNE DR STE 211",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027942",
            "telephone_number": "316-448-6287",
            "fax_number": "316-330-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-448-6287"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.