Organization
ENNOBLE HOSPICE KS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHABHADRA DAS (CEO)
(862) 821-9010
Entity
Organization
Contact information
Practice address
345 N RIVERVIEW ST STE 412, WICHITA, KS 67203-4202
(316) 223-4466
(888) 317-8224
Mailing address
345 N RIVERVIEW ST STE 412, WICHITA, KS 67203-4202
(316) 223-4466
(888) 317-8224
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005400580001
—
KS
Enumeration date
07/24/2024
Last updated
02/24/2026
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