Provider Demographics
NPI:1174181796
Name:OUR HOME 2 YOURS LLC
Entity Type:Organization
Organization Name:OUR HOME 2 YOURS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-332-9125
Mailing Address - Street 1:2300 MAIN ST STE 900
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2408
Mailing Address - Country:US
Mailing Address - Phone:618-332-9125
Mailing Address - Fax:816-448-3153
Practice Address - Street 1:2300 MAIN ST STE 900
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2408
Practice Address - Country:US
Practice Address - Phone:618-332-9125
Practice Address - Fax:816-448-3153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUR HOME TO YOURS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25598635Medicaid