Provider Demographics
NPI:1427219666
Name:ARBOR SPRINGS HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ARBOR SPRINGS HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:WURTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-317-8998
Mailing Address - Street 1:8500 W 110TH ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1808
Mailing Address - Country:US
Mailing Address - Phone:913-317-8998
Mailing Address - Fax:913-317-8937
Practice Address - Street 1:234 N 7TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2354
Practice Address - Country:US
Practice Address - Phone:785-825-1055
Practice Address - Fax:785-825-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA085012251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200424510AMedicaid