Provider Demographics
NPI:1306028741
Name:HOLISTIC HOM HEALTH OF KS, INC.
Entity Type:Organization
Organization Name:HOLISTIC HOM HEALTH OF KS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEMMY
Authorized Official - Middle Name:NGUGI
Authorized Official - Last Name:MATIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-295-4692
Mailing Address - Street 1:2621 N EDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3144
Mailing Address - Country:US
Mailing Address - Phone:316-295-4692
Mailing Address - Fax:316-295-4692
Practice Address - Street 1:2621 N EDGEMOOR DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3144
Practice Address - Country:US
Practice Address - Phone:316-295-4692
Practice Address - Fax:316-295-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA087115251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health