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Organization
WELLSTREAM HEALTH SERVICES LLC
Active
Organization
WELLSTREAM HEALTH SERVICES LLC
Active
Other names
Kindred at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY)
(913) 814-2288
Entity
Organization
Contact information
Practice address
1920 CORPORATE DR, SUITE A-108, SAN MARCOS, TX 78666-6283
(512) 392-0157
(512) 392-0611
Mailing address
12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2704
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002300
MDCP
TX
05
—
09516420
—
TX
01
—
09516420-3
CSHCN
TX
01
—
45D0505671
CLIA
—
01
—
57893
MEDICAID DME H
TX
Enumeration date
05/13/2006
Last updated
05/16/2016
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