Provider Demographics
NPI:1245419142
Name:HOSPICE CARE OF KANSAS, LLC
Entity Type:Organization
Organization Name:HOSPICE CARE OF KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-551-0945
Mailing Address - Street 1:2900 SW OAKLEY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2600
Mailing Address - Country:US
Mailing Address - Phone:316-721-8803
Mailing Address - Fax:
Practice Address - Street 1:2900 SW OAKLEY AVE STE H
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2600
Practice Address - Country:US
Practice Address - Phone:316-721-8803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOYAGER HOSPICE CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100342290CMedicaid
171553Medicare Oscar/Certification