Provider Demographics
NPI:1275223356
Name:KANCOVER HOME HEALTH LLC
Entity Type:Organization
Organization Name:KANCOVER HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-392-7085
Mailing Address - Street 1:1720 GRANITE RD
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67422-9047
Mailing Address - Country:US
Mailing Address - Phone:785-392-7085
Mailing Address - Fax:785-488-2165
Practice Address - Street 1:1720 GRANITE RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:KS
Practice Address - Zip Code:67422-9047
Practice Address - Country:US
Practice Address - Phone:785-392-7085
Practice Address - Fax:785-488-2165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health