Provider Demographics
NPI:1033986450
Name:COMFORTING HANDS HOSPICE OF SE KANSAS LLC
Entity Type:Organization
Organization Name:COMFORTING HANDS HOSPICE OF SE KANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BIDLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MBA
Authorized Official - Phone:918-786-0441
Mailing Address - Street 1:1015 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-2847
Mailing Address - Country:US
Mailing Address - Phone:918-786-0441
Mailing Address - Fax:918-786-0313
Practice Address - Street 1:600 MAIN ST
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-3445
Practice Address - Country:US
Practice Address - Phone:918-786-0441
Practice Address - Fax:918-786-0313
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORTING HANDS HOSPICE OF GROVE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty