Wichita KS Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WICHITA KS HOMECARE

Doing business as

Visiting Angels

Practice address

5920 E Central Ave Ste 101
Wichita, KS 67208-4241

Phone

(316) 928-2196

Fax

(316) 928-2198

NPI assigned

Jul 8, 2019

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather A Brown

Title

Owner

Phone

(316) 928-2196

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Visiting Angels Doing business as

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1881256089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084241",
            "telephone_number": "316-928-2196",
            "fax_number": "316-928-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084241",
            "telephone_number": "316-928-2196",
            "fax_number": "316-928-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA KS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-928-2196"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY OPERATING PERMIT FOR CLASS-B SERVICES",
            "identifier": "T-014-081",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Wichita, KS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.