Provider Demographics
NPI:1417430174
Name:APOLLO HOMECARE OF KANSAS, INC.
Entity Type:Organization
Organization Name:APOLLO HOMECARE OF KANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-221-2301
Mailing Address - Street 1:4410 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3504
Mailing Address - Country:US
Mailing Address - Phone:785-272-1257
Mailing Address - Fax:785-272-1249
Practice Address - Street 1:4410 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3504
Practice Address - Country:US
Practice Address - Phone:785-272-1257
Practice Address - Fax:785-272-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies