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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 10404900B | 05 | |
KS | MEDICAID | 100404900A | 01 |
MO | 826099202 | 05 |
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 |
Street Address |
123 W KANSAS AVE STE 200 |
City | INDEPENDENCE |
State | MO |
Zip Code | 64050-3713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841698024 | Joshonna Price | Occupational Therapy Assistant | 810 E Walnut, Independence, MO 64050 | 2014-12-19 |
1003151770 | Melinda Stegner | Registered Nurse | 3445 South 291 Hwy, Ste 300, Independence, MO 64050 | 2012-12-06 |
1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
1568790749 | Charity Faith Morris | Case Manager/Care Coordinator | 314 E Pacific Avenue, Independence, MO 64050 | 2009-11-25 |
1225276090 | Best Smile, LLC | Dentist | 651 E 24 Hwy, Independence, MO 64050 | 2009-02-01 |
1396982468 | Independence Avenue Dental LLC | Clinic/Center | 1638 West 24 Highway, Independence, MO 64050 | 2009-01-12 |
1366640914 | Center for The Developmentally Disabled | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1215 W. Truman Rd, Independence, MO 64050 | 2007-07-05 |
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 |
1841393782 | Carmel Hills Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 810 East Walnut, Independence, MO 64050 | 2006-09-06 |
Find all providers in zip 64050 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 64050 |
Please comment or provide details below to improve the information on GOOD SHEPHERD HOSPICE OF MID-AMERICA INC.
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.