# HYATT HOME HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154510121
- **Authorized official:** FARDOSO MOHAMUD JAMA (OWNER/PRESIDENT)
- **Authorized official phone:** (816) 283-3200

## Contact information

- **Practice address:** 2122 E 12TH ST, KANSAS CITY, MO 64127-1218
- **Practice address phone:** (816) 283-3200
- **Practice address fax:** (816) 283-3202
- **Mailing address:** 2122 E 12TH ST, KANSAS CITY, MO 64127-1218
- **Mailing address phone:** (816) 283-3200
- **Mailing address fax:** (816) 283-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | 00846227 | MO | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 07/29/2022