Organization
HYATT HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOSO MOHAMUD JAMA (OWNER/PRESIDENT)
(816) 283-3200
Entity
Organization
Contact information
Practice address
2122 E 12TH ST, KANSAS CITY, MO 64127-1218
(816) 283-3200
(816) 283-3202
Mailing address
2122 E 12TH ST, KANSAS CITY, MO 64127-1218
(816) 283-3200
(816) 283-3202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
00846227
MO
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/16/2007
Last updated
07/29/2022
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