Organization
IN HOME HEALTH LLC
Active
Parent organization
IN HOME HEALTH LLC
Other names
ProMedica Hospice (Kansas City)
Organization subpart
Yes
Provider details
NPI number
Legal business name
IN HOME HEALTH LLC
Authorized official
MARTIN DAVID 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
251E00000X
Home Health Agency
Primary
713-6
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828561100
—
MO
Enumeration date
05/20/2006
Last updated
01/05/2023
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