Provider Demographics
NPI:1114984275
Name:SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
Entity Type:Organization
Organization Name:SAINT LUKE'S HEALTH SYSTEM HOME CARE AND HOSPICE
Other - Org Name:SLHS HOME CARE AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:H
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-599-9226
Mailing Address - Street 1:901 E 104TH ST STE N3000
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-756-1160
Mailing Address - Fax:816-756-0838
Practice Address - Street 1:903 E 104TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4508
Practice Address - Country:US
Practice Address - Phone:816-756-1160
Practice Address - Fax:816-756-0838
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT LUKE'S HEALTH SYSTEM INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-01
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO708-5251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
35087017OtherFEDERAL BLUE CROSS
KS100221100AMedicaid
91031017OtherBLUE CROSS
MO582040309Medicaid
MO582040309Medicaid