Organization
IN HOME HEALTH, LLC
Active
Other names
ProMedica Hospice (Kansas City)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
4731 S COCHISE DR STE 120, INDEPENDENCE, MO 64055-6975
(816) 943-1798
(816) 941-3881
Mailing address
333 N SUMMIT ST, ATTN DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
111-15HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828561100
—
MO
Enumeration date
07/10/2006
Last updated
01/09/2023
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