GOOD SHEPHERD HOSPICE OF MID-AMERICA INC


Address: 123 W Kansas Ave Ste 200, Independence, MO 64050-3713
Phone: 8168222292

GOOD SHEPHERD HOSPICE OF MID-AMERICA INC (NPI# 1497857551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497857551
Entity Type Organization
Organization Name GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Practice Address 123 W Kansas Ave Ste 200
Independence
MO 64050-3713
Mailing Address 123 W Kansas Ave
Independence
MO 64050-3732
Practice Telephone 8168222292
Practice Fax Number 8168222298
Mailing Telephone (816) 822-2292
Mailing Fax Number 8168222298
Enumeration Date 2006-09-01
Last Update Date 2017-08-18
Authorized Official Name MR. JASON KYLE DELESTER (PRESIDENT)
Authorized Official Telephone 4059430903
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251G00000X Hospice Care, Community Based Agencies
Y 251G00000X Hospice Care, Community Based 1243H0 MO Agencies

Other Provider Identifier

State Issuer Identifier Type Code
KS 10404900B 05
KS MEDICAID 100404900A 01
MO 826099202 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700104718 Good Shepherd Hospice of Mid-america Inc Hospice Care, Community Based 11267 Stang Line Road, Lenexa, KS 66215-4040 2010-05-14

Office Location

Street Address 123 W KANSAS AVE STE 200
City INDEPENDENCE
State MO
Zip Code 64050-3713

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1568790749 Charity Faith Morris Case Manager/Care Coordinator 314 E Pacific Avenue, Independence, MO 64050 2009-11-25
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1396982468 Independence Avenue Dental LLC Clinic/Center 1638 West 24 Highway, Independence, MO 64050 2009-01-12
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1992871883 Stephen Ervin Dorsch Family Medicine 1638 W 24 Hwy, Independence, MO 64050 2006-11-24
1831284801 Ronald Eugene Jennings Dentist 514 S Noland Road, Noland Medical Plaza Suite 120, Independence, MO 64050 2006-10-04
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992312383 Specialized Hospice Hospice Care, Community Based 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 2020-09-29
1861909798 Missouri Hospice Care, LLC Hospice Care, Community Based 3675 S Noland Rd Ste 225, Independence, MO 64055-3369 2017-12-31
1366820318 Phoenix Home Care Inc Hospice Care, Community Based 14220 E 42nd St S, Independence, MO 64055-4726 2015-05-11
1669863486 Shalom House Inc #2 Hospice Care, Community Based 13905 E 39th St S Ste 104, Independence, MO 64055-3378 2015-02-16
1003840984 In Home Health, LLC Hospice Care, Community Based 4731 S Cochise Dr Ste 120, Independence, MO 64055-6975 2006-07-10
1356374581 The Groves Hospice Care, Community Based 1515 W White Oak St, Independence, MO 64050-2557 2006-07-09
1427093988 Crossroads Hospice of Kansas City Hospice Care, Community Based 14310 E 42nd St S Unit 600, Independence, MO 64055-7308 2006-06-18
1013968635 Heartland Hospice Services LLC Hospice Care, Community Based 4807 Rockside Rd, Suite 110, Independence, OH 44131-2140 2006-05-16
1073514600 Odyssey Healthcare of Kansas City LLC Hospice Care, Community Based 4911 S Arrowhead Dr, Suite 310, Independence, MO 64055-7032 2005-08-04
1306489984 Terrace Home Health Independence, LLC Hospice Care, Community Based 4721 S Cliff Ave Ste 211, Independence, MO 64055-6969 2019-10-25
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Competitor

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City INDEPENDENCE
Zip Code 64050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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