Provider Demographics
NPI:1104394386
Name:TEAKWOOD INVESTMENTS, LLC
Entity Type:Organization
Organization Name:TEAKWOOD INVESTMENTS, LLC
Other - Org Name:FIRST LIGHT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAINERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-203-7444
Mailing Address - Street 1:10540 BARKLEY ST STE 205
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1842
Mailing Address - Country:US
Mailing Address - Phone:913-203-7444
Mailing Address - Fax:
Practice Address - Street 1:10540 BARKLEY ST STE 205
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1842
Practice Address - Country:US
Practice Address - Phone:913-203-7444
Practice Address - Fax:913-350-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care