GOOD SHEPHERD HOSPICE OF MID-AMERICA INC (NPI# 1700104718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700104718 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD HOSPICE OF MID-AMERICA INC |
| Practice Address |
11267 Stang Line Road Lenexa KS 66215-4040 |
| Mailing Address |
4350 Will Rogers Pkwy Ste 400 Oklahoma City OK 73108-1826 |
| Practice Telephone | 8168222292 |
| Practice Fax Number | 8168222298 |
| Mailing Telephone | (405) 943-0903 |
| Mailing Fax Number | 4059430950 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MR. JASON DELESTER (PRESIDENT) |
| Authorized Official Telephone | 4059430903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 10404900B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497857551 | Good Shepherd Hospice of Mid-america Inc | Hospice Care, Community Based | 123 W Kansas Ave Ste 200, Independence, MO 64050-3713 | 2006-09-01 |
| Street Address |
11267 STANG LINE ROAD |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906489 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 14833 W 95th St, Lenexa, KS 66215 | 2014-01-31 |
| 1194025239 | Crossroads Hospice of Kansas LLC | Hospice Care, Community Based | 11150 Thompson Ave, Lenexa, KS 66219-2301 | 2010-10-22 |
| 1467782516 | Odyssey Healthcare of Kansas City, LLC | Hospice Care, Community Based | 8735 Rosehill Road, Suite 200, Lenexa, KS 66215-4624 | 2010-01-12 |
| 1073774451 | Compassionate Care Hospice of Kansas City, LLC | Hospice Care, Community Based | 8725 Rosehill Rd Ste 380, Lenexa, KS 66215-4611 | 2008-06-19 |
| 1396885596 | Vitas Healthcare Corporation Midwest | Hospice Care, Community Based | 13316 W 98th St, Lenexa, KS 66215-1373 | 2007-02-07 |
| 1679924989 | Missouri Hospice Holdings, LLC | Hospice Care, Community Based | 12351 W 96th Ter, Lenexa, KS 66215-4409 | 2016-06-28 |
| 1548428402 | Hospice Care of Kansas LLC | Hospice Care, Community Based | 15329 W 95th St, Lenexa, KS 66219-1262 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655752 | Novus Lifecare Hospice of Kansas LLC | Hospice Care, Community Based | 1333 Meadowlark Ln Ste 204, Kansas City, KS 66102-1200 | 2020-10-09 |
| 1295332443 | Trinity United, LLC | Hospice Care, Community Based | 3711 N Ohio St, Salina, KS 67401-9545 | 2020-10-01 |
| 1700413119 | Lumicare Hospice, LLC | Hospice Care, Community Based | 7500 College Blvd Fl 5, Overland Park, KS 66210-4035 | 2020-03-25 |
| 1073149217 | Prairie Wind Hospice LLC | Hospice Care, Community Based | 606 High St, Baldwin City, KS 66006 | 2020-03-19 |
| 1689209025 | Horton House Co. | Hospice Care, Community Based | 1126 Horton St, Fort Scott, KS 66701-2450 | 2020-03-05 |
| 1952958241 | Appl Orchard Hospice of Kansas Inc | Hospice Care, Community Based | 7730 Hedge Lane Ter, Shawnee, KS 66227-3017 | 2019-08-21 |
| 1093362378 | Inspire Hospice, LLC | Hospice Care, Community Based | 11827 W 112th St Ste 100, Overland Park, KS 66210-2726 | 2019-08-21 |
| 1558916510 | Tolulope Adenike Kadiri | Hospice Care, Community Based | 2355 S Bedford St, Wichita, KS 67207-6303 | 2019-08-07 |
| 1275190282 | Ourkansas Guardian Hospice LLC | Hospice Care, Community Based | 2312 S Meridian Ave Ste 104, Wichita, KS 67213-1912 | 2019-05-24 |
| 1962977017 | Ourkansas Guardian LLC | Hospice Care, Community Based | 11715 E Crestwood St, Wichita, KS 67206-5503 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
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| 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.