Provider Demographics
NPI:1225030364
Name:ATCHISON HOME HEALTH EQUIPMENT, INC
Entity Type:Organization
Organization Name:ATCHISON HOME HEALTH EQUIPMENT, INC
Other - Org Name:LEAVENWORTH HOME HEALTH EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HART JR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-651-0202
Mailing Address - Street 1:1914 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-3931
Mailing Address - Country:US
Mailing Address - Phone:913-651-0202
Mailing Address - Fax:913-651-4858
Practice Address - Street 1:1914 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-3931
Practice Address - Country:US
Practice Address - Phone:913-651-0202
Practice Address - Fax:913-651-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS018455OtherBC/BS KS PROVIDER NUMBER
KS818055OtherCOVENTRY PROVIDER NUMBER
KS018455OtherBC/BS KS PROVIDER NUMBER