Organization
ICT HOME HEALTH
Active
Other names
ICT Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY YENOR (DIRECTOR OF COMPLIANCE)
(316) 305-6099
Entity
Organization
Contact information
Practice address
324 W CENTRAL AVE STE E, ANDOVER, KS 67002-9694
(316) 448-1274
(316) 733-0995
Mailing address
324 W CENTRAL AVE STE E, ANDOVER, KS 67002-9694
(316) 448-1274
(316) 733-0995
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A008016
HOME HEALTH LICENSE
KS
Enumeration date
06/05/2025
Last updated
04/22/2026
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