Provider Demographics
NPI:1114348414
Name:MHS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:MHS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHADFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-663-9930
Mailing Address - Street 1:8600 W 110TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1805
Mailing Address - Country:US
Mailing Address - Phone:913-663-9930
Mailing Address - Fax:800-590-5269
Practice Address - Street 1:8600 W 110TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1805
Practice Address - Country:US
Practice Address - Phone:913-663-9930
Practice Address - Fax:800-590-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-04
Last Update Date:2014-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health