Provider Demographics
NPI:1326558149
Name:WICHITA HOME HEALTH CARE GROUP INC
Entity Type:Organization
Organization Name:WICHITA HOME HEALTH CARE GROUP INC
Other - Org Name:ACCESSEDGE HOME HEALTH CARE OF WICHITA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:EPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-219-0095
Mailing Address - Street 1:4601 E DOUGLAS AVE STE 332
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1031
Mailing Address - Country:US
Mailing Address - Phone:316-219-0095
Mailing Address - Fax:954-757-3009
Practice Address - Street 1:4601 E DOUGLAS AVE STE 332
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1031
Practice Address - Country:US
Practice Address - Phone:316-219-0095
Practice Address - Fax:954-757-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health