# LIFE CARE HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700389855
- **Authorized official:** JEREMY COHEN (GENERAL COUNSEL)
- **Authorized official phone:** (706) 854-7428

## Contact information

- **Practice address:** 8101 MISSION RD, PRAIRIE VILLAGE, KS 66208-5245
- **Practice address phone:** (913) 385-4110
- **Mailing address:** PO BOX 200, AUGUSTA, GA 30903-0200
- **Mailing address phone:** (706) 854-7428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | A046244 | KS | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018