Provider Demographics
NPI:1235162181
Name:PLEASANT VIEW HOME
Entity Type:Organization
Organization Name:PLEASANT VIEW HOME
Other - Org Name:PLEASANT VIEW HOME CARE HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:REIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-585-6411
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:KS
Mailing Address - Zip Code:67546-0249
Mailing Address - Country:US
Mailing Address - Phone:620-585-6411
Mailing Address - Fax:620-585-6504
Practice Address - Street 1:108 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:KS
Practice Address - Zip Code:67546-8016
Practice Address - Country:US
Practice Address - Phone:620-585-6411
Practice Address - Fax:620-585-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-059-017251E00000X
KSA-059-012251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100071640AMedicaid