# BUDZ 4 LYFE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grandmas House Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124911177
- **Authorized official:** MR. MARCIAL COLE GOMEZ LPN (COO)
- **Authorized official phone:** (785) 521-8073

## Contact information

- **Practice address:** 6550 SPRINT PARKWAY, STE 200-3C561, LEAWOOD, KS 66211
- **Practice address phone:** (785) 521-8073
- **Mailing address:** 6550 SPRINT PARKWAY, STE 200-3C561, LEAWOOD, KS 66211
- **Mailing address phone:** (785) 521-8073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025
